Individual
PHILLIP FAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3563 PHILLIPS HWY, BUILDING E, SUITE 502, JACKSONVILLE, FL 32207-5663
(904) 202-4332
Mailing address
2535 CALADIUM RD, JACKSONVILLE, FL 32211-4090
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4264
FL
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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