Individual
MR. GARY KEITH PORTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, CEAS
Contact information
Practice address
222 E UNIVERSITY AVE, STATION 44, GAINESVILLE, FL 32601-5456
(352) 334-5000
(352) 334-3185
Mailing address
999 SW 16TH AVE, 105, GAINESVILLE, FL 32601-0425
(352) 514-4761
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1335
FL
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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