Individual
MR. ANTHONY MARK STAFFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
5979 VINELAND RD, SUITE 304, ORLANDO, FL 32819-7800
(407) 354-3906
(407) 354-3907
Mailing address
5979 VINELAND RD, SUITE 304, ORLANDO, FL 32819-7800
(407) 354-3906
(407) 354-3907
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL #2292
FL
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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