Individual
EBONIE M WHITTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 SW WILLISTON RD APT 322, GAINESVILLE, FL 32608-3968
(224) 520-0630
Mailing address
2800 SW WILLISTON RD APT 322, GAINESVILLE, FL 32608-3968
(224) 520-0630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
FL
Other
Enumeration date
06/29/2023
Last updated
05/30/2024
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