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Organization

MARTIAL ARTS COMBAT ACADEMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAY HAROLD FOIL (CO-OWNER)
(850) 499-8874
Entity
Organization

Contact information

Practice address
1605 PARTIN DR N, NICEVILLE, FL 32578-1447
(850) 499-8874
Mailing address
4237 MARYSA DR, NICEVILLE, FL 32578-1753
(850) 499-8874

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
01/22/2021
Last updated
01/22/2021
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