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Individual

CHARLIE HOLLIDAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC/LAT

Contact information

Practice address
11200 SW 8TH ST, MODESTO MAIDIQUE, SHSC 160, MIAMI, FL 33199-2516
(305) 348-5960
(305) 348-0336
Mailing address
11200 SW 8TH ST, MODESTO MAIDIQUE, SHSC 160, MIAMI, FL 33199-2516
(305) 348-5960
(305) 348-0336

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3304
FL

Other

Enumeration date
08/24/2014
Last updated
08/24/2014
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