Individual
CONNER TIDMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1518 SPRING RIDGE CIR, WINTER GARDEN, FL 34787-2150
(321) 239-5388
Mailing address
1518 SPRING RIDGE CIR, WINTER GARDEN, FL 34787-2150
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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