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Individual

MISS MADELINE LEGERSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
4000 CENTRAL FLORIDA BLVD, ORLANDO, FL 32816-8005
(407) 823-2030
Mailing address
4000 CENTRAL FLORIDA BLVD, PO BOX 163555, ORLANDO, FL 32816-8005

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
05/29/2015
Last updated
06/30/2016
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