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NPI Code Detail

MEDICARE: JESSICA EFFINGER ATC

MEDICARE: JESSICA EFFINGER ATC
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 TrainerAL1231FL

General Provider Information

NPI Number : 1528033230
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA EFFINGER ATC
Provider Business Mailing Address
First Line : 5000 SE MARICAMP RD
Second Line :
City : OCALA
State : FL
Zip : 34480-7422
Country : US
Telephone Number : 352-671-4700
Fax Number :
Provider Business Practice Location Address
First Line : 5000 SE MARICAMP RD
Second Line :
City : OCALA
State : FL
Zip : 34480-7422
Country : US
Telephone Number : 352-671-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 08/02/2007

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Directions to “ JESSICA EFFINGER ATC” Practice Location

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