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NPI Code Detail

MEDICARE: ASHLEY CORINNE SAUNDERS ATC, PA-C

MEDICARE:   ASHLEY CORINNE SAUNDERS  ATC, PA-C
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
1363A00000XPhysician Assistant
22255A2300XAthletic Trainer

General Provider Information

NPI Number : 1598202178
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY CORINNE SAUNDERS ATC, PA-C
Provider Business Mailing Address
First Line : 92 W MILLER ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2032
Country : US
Telephone Number : 317-847-3088
Fax Number :
Provider Business Practice Location Address
First Line : 92 W MILLER ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2032
Country : US
Telephone Number : 317-847-3088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2017
Last Update Date : 06/13/2026

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Directions to “ ASHLEY CORINNE SAUNDERS ATC, PA-C” Practice Location

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