Individual
ZATHAN BARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
3371 KNIGHT ST, JACKSONVILLE, FL 32205-7858
(785) 259-0937
Mailing address
3371 KNIGHT ST, JACKSONVILLE, FL 32205-7858
(785) 259-0937
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4094
FL
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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