Individual
MR. BRANDON HUDNALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2231 HAMPTON GREENS BLVD, APT 105, MELBOURNE, FL 32935-5637
(540) 250-3085
Mailing address
2231 HAMPTON GREENS BLVD, APT 105, MELBOURNE, FL 32935-5637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4490
FL
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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