Individual
KYLE EDWARD O'TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
4435 TOUCHTON RD E APT 607, JACKSONVILLE, FL 32246-4463
(321) 412-5372
Mailing address
4435 TOUCHTON RD E APT 607, JACKSONVILLE, FL 32246-4463
(321) 412-5372
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4937
FL
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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