Individual
BRANDON BASRI SELCUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 CORAL CLUB DR, CORAL SPRINGS, FL 33071-5600
(954) 699-5493
Mailing address
921 CORAL CLUB DR, CORAL SPRINGS, FL 33071-5600
(954) 699-5493
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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