Individual
JARED CLETIS MOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.
Contact information
Practice address
3406 SOHO ST APT 207, ORLANDO, FL 32835-7574
(419) 788-0225
Mailing address
3406 SOHO ST APT 207, ORLANDO, FL 32835-7574
(419) 788-0225
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 4023
FL
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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