Individual
GERMAN ANDRES HALL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S, ATC, LAT, PES
Contact information
Practice address
4200 54TH AVE S, SAINT PETERSBURG, FL 33711-4744
(240) 427-7600
Mailing address
9951 12TH WAY N, 12-113, SAINT PETERSBURG, FL 33716-5064
(240) 427-7600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
INDIVIDUAL
FL
Enumeration date
10/22/2015
Last updated
10/22/2015
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