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Individual

MR. JOHN MATHEW GREGORICH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
13838 OSPREY NEST LN, APT 270, ORLANDO, FL 32837-6169
(440) 669-3968
Mailing address
11118 GRANDE PINES CIR APT 213, ORLANDO, FL 32821-9310
(440) 669-3968

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
002903
NY
2255A2300X
Athletic Trainer
1811
TN
2255A2300X
Athletic Trainer
Primary
AL3796
FL
2255A2300X
Athletic Trainer
AT.004350
OH
2255A2300X
Athletic Trainer
AT7406
TX

Other

Enumeration date
01/01/2017
Last updated
12/30/2020
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