Individual
LEE CHARLES DISON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC/LAT
Contact information
Practice address
6464 SILVER GLEN DR, JACKSONVILLE, FL 32258-5134
(904) 268-1007
(904) 858-7188
Mailing address
6464 SILVER GLEN DR, JACKSONVILLE, FL 32258-5134
(904) 268-1007
(904) 858-7188
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1248
FL
Other
Enumeration date
06/25/2006
Last updated
07/08/2007
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