MR. John Donald Blackburn II
NPI #1700417490 in Eagle Lake, Florida
Provider Information
- NPI Number
- 1700417490
- Entity Type
- Individual
- Name
- MR. John Donald Blackburn II
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jan 31, 2020
- Last Updated
- Jan 31, 2020
Practice Location
- Address
- 1995 THUNDER RD
- City
- Eagle Lake
- State
- Florida
- ZIP Code
- 33839-3086
- Phone
- (863) 224-4085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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