Individual
MRS. ABIGAIL MARIE ELIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
11100 NW 27TH ST, DORAL, FL 33172-5001
(407) 435-1172
Mailing address
8160 W 28TH CT UNIT 202, HIALEAH, FL 33018-5109
(407) 435-1172
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3531
FL
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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