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Individual

MR. WINFILED SCOTT BRICKETT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
401 W KENNEDY BLVD, BOX I, TAMPA, FL 33606-1450
(813) 253-6264
Mailing address
401 W KENNEDY BLVD, BOX I, TAMPA, FL 33606-1450
(813) 253-6264

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 686
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AL 686
ATHLETIC TRAINER LICENSE
FL
Enumeration date
03/22/2006
Last updated
07/08/2007
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