Individual
TIFFANY STAR OGLAGEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8701 MAITLAND SUMMIT BLVD, ORLANDO, FL 32810-5915
(407) 916-4500
(407) 196-4501
Mailing address
8701 MAITLAND SUMMIT BLVD, ORLANDO, FL 32810-5915
(407) 916-4500
(407) 916-4501
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1175
FL
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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