Individual
JENNIFER TABARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. LAT ATC
Contact information
Practice address
303 SOUTHEAST 3RD AV, FORT LAUDERDALE, FL 33316
(407) 259-1225
Mailing address
1371 CANARY ISLAND DRIVE, WESTON, FL 33327
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4121
FL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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