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Individual

MATTHEW THOMAS HUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC/L

Contact information

Practice address
3500 E FLETCHER AVE, SUITE 511, TAMPA, FL 33613-4708
(813) 641-5611
Mailing address
402B CLARK DR, HOLMES BEACH, FL 34217-1116

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2194
FL

Other

Enumeration date
07/09/2007
Last updated
07/11/2007
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