Individual
BRIAN JAY WEISSMULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1371 CAMPBELL CT, CLEARWATER, FL 33756-2211
(973) 903-7089
Mailing address
1371 CAMPBELL CT, CLEARWATER, FL 33756-2211
(973) 903-7089
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5709
FL
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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