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Individual

ALLAN BEWERSDORF JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
1707 16TH ST, VERO BEACH, FL 32960-3626
(772) 564-5494
Mailing address
1707 16TH ST, VERO BEACH, FL 32960-3626
(772) 564-5494

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1525
FL

Other

Enumeration date
07/16/2016
Last updated
07/16/2016
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