Individual
MR. BRIAN SCOTT IMLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.,C/L
Contact information
Practice address
3675 WINGED FOOT CIR, GREEN COVE SPRINGS, FL 32043-8023
(904) 982-5762
(904) 529-6557
Mailing address
PO BOX 9539, FLEMING ISLAND, FL 32006-0030
(904) 982-5762
(904) 529-6557
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1714
FL
2255A2300X
Athletic Trainer
AT001093
GA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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