Organization
UNIVERSITY ATHLETIC ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WARD WERNER (ASSISTANT ATHLETIC DIRECTOR)
(352) 375-4683
Entity
Organization
Contact information
Practice address
290 WOODLAWN DR, GAINESVILLE, FL 32611-1949
(352) 375-4683
(352) 377-8483
Mailing address
4752 SW 88TH DR, GAINESVILLE, FL 32608-4145
(352) 375-4683
(352) 377-8483
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL343
FL
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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