Individual
MR. MATTHEW DONALD DENBLEYKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 BUCCANEER PL, TAMPA, FL 33607-5701
(813) 870-2700
Mailing address
51 RALEIGH CT, EATONTOWN, NJ 07724-2149
(732) 977-8477
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00176000
NJ
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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