Individual
MR. DANIEL MAR CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C
Contact information
Practice address
702 GROVEPARK DR, DAVENPORT, FL 33837-5834
(808) 561-4234
Mailing address
702 GROVEPARK DR, DAVENPORT, FL 33837-5834
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1956
FL
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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