MEDICARE: JOEL CHISHOLM ATC, LAT

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
1	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1326352766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL CHISHOLM ATC, LAT

Provider Business Mailing Address
First Line	:	3036 S SEMORAN BLVD # M-6
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-1608
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3036 S SEMORAN BLVD # M-6
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-1608
Country	:	US
Telephone Number	:	954-249-6367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2010
Last Update Date	:	07/27/2010

Similar Medicare Providers

1538768049 — DESIREE MONIQUE BETHELMIE LMT
Practice Location Address:

1608 S CRYSTAL LAKE DR APT 54
ORLANDO, FL
32806-3358

Practice Phone: 407-219-2793
Practice Fax:

1104504885 — AMY ZOGRAN MS, RD, LDN
Practice Location Address:

1608 NEBRASKA ST
ORLANDO, FL
32803-1920

Practice Phone: 321-806-5386
Practice Fax:

1366458978 — REGENETICS HEALTH INSTITUTE, PA
Practice Location Address:

7806 LAKE UNDERHILL RD STE 106
ORLANDO, FL
32822-8232

Practice Phone: 407-483-4079
Practice Fax: 407-572-8642

1396751723 — CARLOS JOSE PLACER LARRAURI MD
Practice Location Address:

7806 LAKE UNDERHILL RD STE 106
ORLANDO, FL
32822-8232

Practice Phone: 407-483-4079
Practice Fax:

1063415727 — ANGEL L COLON-MOLERO MD
Practice Location Address:

5822 S SEMORAN BLVD BLDG A
ORLANDO, FL
32822-4812

Practice Phone: 305-575-3419
Practice Fax:

1306782370 — WILLESHCA RAMOS CPT
Practice Location Address:

7132 KARDEN WAY
ORLANDO, FL
32822-4631

Practice Phone: 407-779-0924
Practice Fax:

Directions to “ JOEL CHISHOLM ATC, LAT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.