Individual
KIMBERLY ANN PASSERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
150 W UNIVERSITY BLVD, MELBOURNE, FL 32901-6982
(321) 412-1446
Mailing address
150 W UNIVERSITY BLVD, MELBOURNE, FL 32901-6982
(321) 412-1446
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2571
FL
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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