Individual
MICHELLE BOLING ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 U N F DR, JACKSONVILLE, FL 32224-7699
(904) 620-1563
Mailing address
1 U N F DR, JACKSONVILLE, FL 32224-7699
(904) 620-1563
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2556
FL
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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