Individual
REUBEN SAAVEDRA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1701 HAMILTON AVE SW, PALM BAY, FL 32908-8122
(312) 984-0854
Mailing address
1701 HAMILTON AVE SW, PALM BAY, FL 32908-8122
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002930
GA
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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