Individual
MARIE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
3100 EDGEWATER DR, ORLANDO, FL 32804-3722
(863) 370-3011
Mailing address
3100 EDGEWATER DR, ORLANDO, FL 32804-3722
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4021
FL
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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