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Individual

JAMES BRANCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
142 WINDFLOWER WAY, OVIEDO, FL 32765-4014
(904) 728-6505
Mailing address
142 WINDFLOWER WAY, OVIEDO, FL 32765-4014
(904) 728-6505

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3816
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AL3816
FLORIDA BOARD OF HEALTH ATHLETIC TRAINING LICENSURE
FL
Enumeration date
06/05/2014
Last updated
06/05/2014
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