Individual
JOHN DOUGLAS WENTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19168 NW 24TH PL, PEMBROKE PINES, FL 33029-5366
(954) 684-8016
Mailing address
19168 NW 24TH PL, PEMBROKE PINES, FL 33029-5366
(954) 684-8016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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