Individual
ANTHONY JAMES JEDWABNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
185 S WESTMONTE DR STE 1208, ALTAMONTE SPRINGS, FL 32714-4200
(407) 733-2841
Mailing address
178 PESHEKEE TRAIL, MEDFORD, NJ 08055
(407) 862-0714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1198
FL
Other
Enumeration date
05/17/2007
Last updated
08/13/2019
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