Individual
STEPHANIE MICHELLE SCOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4600 4TH ST N, SAINT PETERSBURG, FL 33703-3802
(727) 527-5272
Mailing address
7976 52ND LN N, PINELLAS PARK, FL 33781-2368
(772) 359-7882
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3529
FL
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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