Individual
CANDICE DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
6965 GLENEAGLE DR, MIAMI LAKES, FL 33014-6507
(305) 213-4897
Mailing address
6965 GLENEAGLE DR, MIAMI LAKES, FL 33014-6507
(305) 213-4897
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4187
FL
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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