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NPI Code Detail

MEDICARE: MR. JOHN EARL MCFARLAND ATC,LAT,CSCS

MEDICARE:  MR. JOHN EARL MCFARLAND  ATC,LAT,CSCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerAL616FL

General Provider Information

NPI Number : 1144283326
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN EARL MCFARLAND ATC,LAT,CSCS
Provider Business Mailing Address
First Line : 2825 CONCORD RD
Second Line :
City : DELAND
State : FL
Zip : 32720-6013
Country : US
Telephone Number : 386-740-9802
Fax Number :
Provider Business Practice Location Address
First Line : 1764 S WOODLAND BLVD
Second Line :
City : DELAND
State : FL
Zip : 32720-7915
Country : US
Telephone Number : 386-734-9400
Fax Number : 386-734-8866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 07/08/2007

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Directions to “ MR. JOHN EARL MCFARLAND ATC,LAT,CSCS” Practice Location

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