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Individual

MR. MICHAEL JAY NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATHLETIC TRAINER

Contact information

Practice address
801 S RIO GRANDE AVE, ORLANDO, FL 32805-3765
(407) 835-2300
Mailing address
2801 CHARMONT DR, APOPKA, FL 32703-5973
(407) 682-4161

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL161
FL

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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