Individual
JEFFREY WILLIAM BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
DELAND HIGH SCHOOL, 800 N. HILL AVE, DELAND, FL 32724
(386) 822-6909
Mailing address
130 LAKE MOLLY AVE, DELAND, FL 32724-1706
(386) 738-3093
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL275
FL
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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