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Contact Information

PETER CONNOLE, B.S., ATC, LAT
11066 CRYSTAL GLEN BLVD
ORLANDO, FL32837
 Phone: 407-467-5661
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for PETER CONNOLE · (Male)

NPI # 1881133858
Status Active
Credentials B.S., ATC, LAT
Entity Individual
Enumeration date 02/23/2017
Last updated 02/23/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # AL4395
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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