Individual
MR. J R TITSWORTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, LPTA
Contact information
Practice address
5007 BOBWHITE CT, 38652 SR 52 , PHS DADE CITY FL 33525, DADE CITY, FL 33523-8806
(352) 583-0659
Mailing address
5007 BOBWHITE CT, DADE CITY, FL 33523-8806
(352) 583-0659
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
FL
Other
Enumeration date
06/25/2006
Last updated
07/08/2007
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