Individual
STACY BLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11200 SW 8TH ST, MIAMI, FL 33199-2516
(305) 348-2000
Mailing address
18 APPLE WAY, MARLTON, NJ 08053-1249
(856) 630-2274
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4566
FL
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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