Individual
BRIAN EMMET BANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
2030 S PATRICK DR, STE 3, INDIAN HARBOUR BEACH, FL 32937-4400
(321) 773-5290
(321) 773-5268
Mailing address
2030 S PATRICK DR, STE 3, INDIAN HARBOUR BEACH, FL 32937-4400
(321) 773-5290
(321) 773-5268
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL522
FL
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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