Individual
PHILIP GANDOLFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
153 ARBOR DR E, PALM HARBOR, FL 34683-5704
(727) 422-7028
Mailing address
153 ARBOR DR E, PALM HARBOR, FL 34683-5704
(727) 422-7028
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 3549
FL
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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