Christopher Michael McDonald
Specialist/Technologist, Athletic Trainer in Lakeland, FL. Individual provider (NPI-1).
NPI number1063965663
StatusActive
Last updated in NPPESJul 31, 2016
Details
- NPI
- 1063965663
- Entity type
- Individual (NPI-1)
- Name
- Christopher Michael McDonald
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2016
- Last updated
- Jul 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AL3177 | FL | Yes |
Practice location
2125 N Lake AveLakeland, FL 33805-5012
Phone 863-398-5029
Mailing address
2125 N Lake AveLakeland, FL 33805-5012
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