Individual
MR. JEREMY BRETT TEBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED, ATC, LAT
Contact information
Practice address
265 E ROLLINS ST, ORLANDO, FL 32804
(813) 727-6373
Mailing address
265 E ROLLINS ST, ORLANDO, FL 32804
(813) 727-6373
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6740
FL
2255A2300X
Athletic Trainer
AT7004
TX
Other
Enumeration date
08/22/2009
Last updated
09/27/2022
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