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Individual

PETER CONNOLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S., ATC, LAT

Contact information

Practice address
11066 CRYSTAL GLEN BLVD, ORLANDO, FL 32837
(407) 467-5661
Mailing address
11066 CRYSTAL GLEN BLVD, ORLANDO, FL 32837
(407) 467-5661

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4395
FL

Other

Enumeration date
02/23/2017
Last updated
02/23/2017
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