Individual
ANTHONY F BALDOCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
10451 NW 21ST CT, SUNRISE, FL 33322-3512
(954) 295-1987
Mailing address
10451 NW 21ST CT, SUNRISE, FL 33322-3512
(954) 295-1987
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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