Individual
JOHAN SAMIR MUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
4000 CENTRAL FLORIDA BLVD, ORLANDO, FL 32816-8005
(407) 823-2408
Mailing address
4612 PARK EDEN CIR, ORLANDO, FL 32810-1903
(787) 361-2019
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
004274
NY
2255A2300X
Athletic Trainer
3215
MA
2255A2300X
Athletic Trainer
Primary
6784
FL
Other
Enumeration date
03/21/2018
Last updated
02/24/2026
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