Individual
ANTHONY PAULINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316
(954) 355-5521
Mailing address
5530 NW 44TH ST, 104C, LAUDERHILL, FL 33319
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3903
FL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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