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Jeff Daniel Feroglia, ATC,LAT

Specialist/Technologist, Athletic Trainer in Lake Mary, FL. Individual provider (NPI-1).

NPI number1013057819
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1013057819
Entity type
Individual (NPI-1)
Name
Jeff Daniel Feroglia
Credential
ATC,LAT
Sex
Male
Sole proprietor
No
Enumeration date
Feb 8, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAL#1926FLYes

Practice location

934 Williston Park Pt
Suite 1020
Lake Mary, FL 32746-2165

Phone 407-829-7311 · Fax 407-829-7805

Mailing address

12328 Eastcove Dr
Orlando, FL 32826-3622

Phone 305-519-1581

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