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Individual

CARTER BREWSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10501 FGCU BLVD S, FORT MYERS, FL 33965-6502
(239) 590-7095
Mailing address
6800 S AUDIE DR, SIOUX FALLS, SD 57108-3150

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6694
FL

Other

Enumeration date
08/01/2022
Last updated
08/01/2022
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