Individual
MR. NEVILLE WILLIBE SPURGEON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
640 DR MARY MCLEOD BETHUNE BLVD, DAYTONA BEACH, FL 32114-3012
(386) 481-2281
Mailing address
2851 NW 21ST CT, FORT LAUDERDALE, FL 33311-3315
(954) 205-1595
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4321
FL
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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