Individual
MATTHEW WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 34TH ST W, BRADENTON, FL 34210-3506
(941) 752-2694
Mailing address
5500 34TH ST W, BRADENTON, FL 34210-3506
(941) 752-2694
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
4500
FL
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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