Individual
MR. FREDERICK ROBERT DONNELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6527 MAYPORT DR, APOLLO BEACH, FL 33572-1557
(813) 758-2603
Mailing address
6527 MAYPORT DR, APOLLO BEACH, FL 33572-1557
(813) 758-2603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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