Individual
MR. JACOB MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4364 69TH AVE N, PINELLAS PARK, FL 33781-5810
(850) 293-5314
Mailing address
4364 69TH AVE N, PINELLAS PARK, FL 33781-5810
(850) 293-5314
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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