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Individual

ANTONIO MUNOZ-BERISTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
1224 LAVANHAM CT, APOPKA, FL 32712-3069
(407) 865-1149
Mailing address
1224 LAVANHAM CT, APOPKA, FL 32712-3069
(407) 865-1149

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 4186
FL

Other

Enumeration date
06/17/2015
Last updated
06/17/2015
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