Individual
STEVEN OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 SPENCER ST, ORLANDO, FL 32839
(904) 612-8406
Mailing address
216 SPENCER ST, ORLANDO, FL 32839
(904) 612-8406
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3913
FL
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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