Individual
ELIJAH LAFOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
454 FORT FLORIDA RD, DEBARY, FL 32713-9714
(386) 968-2012
Mailing address
401 TAYLORVILLE ST, DELTONA, FL 32725-3111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
L153210030070
FL
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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