Individual
MATTHEW SANTOS-VITORINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6753 SW 88TH ST APT B114, PINECREST, FL 33156-1578
(413) 221-0642
Mailing address
6753 SW 88TH ST APT B114, PINECREST, FL 33156-1578
(413) 221-0642
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2505
FL
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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