Individual
MRS. BAMBI DEFELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1040 GULF BREEZE PKWY, GULF BREEZE, FL 32561-7809
(850) 934-2180
Mailing address
1049 MEYER WAY, PENSACOLA, FL 32514-3979
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2422
FL
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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