Individual
BILLY JOE MCDOUGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2800 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3321
(904) 256-7421
Mailing address
6158 DAWNRIDGE RD S, JACKSONVILLE, FL 32277-1407
(904) 744-3045
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 213
FL
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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