Individual
BRANDON CENTENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
15255 MAX LEGGETT PKWY, SUITE 6600, JACKSONVILLE, FL 32218-7273
(904) 802-5260
Mailing address
15255 MAX LEGGETT PKWY, SUITE 6600, JACKSONVILLE, FL 32218-7273
(904) 802-5260
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3946
FL
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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