Individual
MADISON FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4434 WINDERWOOD CIR, ORLANDO, FL 32835-2636
(407) 492-1045
Mailing address
4434 WINDERWOOD CIR, ORLANDO, FL 32835-2636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7207
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2023
Last updated
07/16/2024
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