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Individual

BRUCE HAMELIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2370
(352) 273-7002
Mailing address
1337 LOWER CAMPUS RD, HONOLULU, HI 96822-2370

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
219
HI
367H00000X
Anesthesiologist Assistant
Primary
PA9118989
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124295400
FL
Enumeration date
02/18/2015
Last updated
11/06/2024
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