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MR. STEPHEN MICCIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
901 GULF RD, TARPON SPRINGS, FL 34689-2529
(727) 504-7899
Mailing address
901 GULF RD, TARPON SPRINGS, FL 34689-2529
(727) 504-7899

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 4388
FL

Other

Enumeration date
11/18/2015
Last updated
11/18/2015
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