Individual
MS. HOLLY L PANAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1101 BEAR CROSSING DR, ORLANDO, FL 32824-6004
(407) 852-3400
(407) 852-3469
Mailing address
8480 BARNSTABLE PL, ORLANDO, FL 32827-4946
(407) 812-9396
(407) 852-3469
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
881038
NATA MEMBER NUMBER
FL
01
—
AL 283
STATE OF FL LICENSURE
FL
Enumeration date
04/28/2006
Last updated
07/08/2007
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