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Individual

MR. TIMOTHY JOHN DESMARTEAU

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC/L

Contact information

Practice address
1201 N SCENIC HWY, BABSON PARK, FL 33827-9751
(863) 638-2949
(863) 638-2915
Mailing address
1435 AVENUE H NE, WINTER HAVEN, FL 33881-4353
(352) 267-7619
(863) 638-2915

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 285
FL

Other

Enumeration date
04/11/2006
Last updated
07/08/2007
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