Individual
MS. CARLY ANNE JASKULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
401 W KENNEDY BLVD, TAMPA, FL 33606-1450
(813) 253-6264
Mailing address
1204 S GUNBY AVE, TAMPA, FL 33606-3216
(407) 403-3435
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5310
FL
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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