Individual
CLINTON CHARLES WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5722 BISCAYNE CT # CONDO108, NEW PORT RICHEY, FL 34652-2031
(727) 534-4755
(727) 843-0401
Mailing address
5722 BISCAYNE CT # CONDO108, NEW PORT RICHEY, FL 34652-2031
(727) 534-4755
(727) 843-0401
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1337
FL
Other
Enumeration date
07/17/2016
Last updated
07/17/2016
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