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Individual
DR. MATTHEW KYLE MCGOWAN
Active
Individual
DR. MATTHEW KYLE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT42057
FL
2255A2300X
Athletic Trainer
AL 4587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL 4587
DEPARTMENT OF HEALTH
FL
01
—
PT42057
DEPARTMENT OF HEALTH
FL
Enumeration date
08/02/2016
Last updated
09/06/2024
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