Individual
MR. MICHAEL MARTIN MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
8562 WINDER WAY, VIERA, FL 32940-2214
(321) 752-7390
Mailing address
8562 WINDER WAY, VIERA, FL 32940-2214
(321) 752-7390
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL201
FL
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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