Individual
RYAN MACCINI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, PES
Contact information
Practice address
5500 34TH ST W, BRADENTON, FL 34210-3506
(727) 798-6543
Mailing address
1079 62ND TER S, ST PETERSBURG, FL 33705-5820
(727) 798-6543
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1482
FL
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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