Individual
MR. PATRICK MIROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
650 E RIVER FALCONS WAY, ORLANDO, FL 32833-2779
(407) 956-8550
Mailing address
650 E RIVER FALCONS WAY, ORLANDO, FL 32833-2779
(407) 956-8550
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 3197
FL
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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