Individual
MR. WAYNE ALAN BECK III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSH, ATC, CHES
Contact information
Practice address
3536 PHILLIPS HWY, BUILDING A, SUITE 106, JACKSONVILLE, FL 32207-5612
(904) 202-5806
(904) 202-5587
Mailing address
121 B 13TH AVE., S, JACKSONVILLE BEACH, FL 32250
(904) 476-1226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1684
FL
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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