Individual
ERIC SHINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5050 AVE MARIA BLVD, AVE MARIA, FL 34142-9505
(239) 304-7865
Mailing address
5247 HEMINGWAY LN E APT 1707, NAPLES, FL 34116-5016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL5831
ATHLETIC TRAINING LICENSE
FL
Enumeration date
03/09/2020
Last updated
03/09/2020
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