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Individual

BRIAN ALEXANDER REYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
100 SERVAIS WAY, HURLBURT FIELD, FL 32544
(850) 884-4661
Mailing address
1904 BAY PINE CIR, GULF BREEZE, FL 32563-9423
(954) 629-3517

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6266
FL
2255A2300X
Athletic Trainer
AT001554
WV

Other

Enumeration date
09/01/2016
Last updated
03/16/2023
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