Individual
MR. CARLOS JOSE GUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
12805 PEGASUS DR, ORLANDO, FL 32816-2205
(407) 823-1407
Mailing address
12805 PEGASUS DR, ORLANDO, FL 32816-2205
(407) 823-1407
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 3731
FL
Other
Enumeration date
06/23/2014
Last updated
06/24/2014
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