Individual
MR. MATTHEW STEPHEN BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
157 GALE LEMERAND DR, GAINESVILLE, FL 32611-2051
(352) 375-4683
Mailing address
4414 NW 21ST ST, GAINESVILLE, FL 32605-1712
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 3870
FL
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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