Individual
EUGENE B SINCLAIR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5650 BOLLETTIERI BLVD, BRADENTON, FL 34210-2211
(800) 872-6425
Mailing address
3978 75TH ST W APT 405, BRADENTON, FL 34209-5810
(904) 554-8536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6320
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000042566
BOARD OF CERTIFICATION
FL
01
—
6320
ATHLETIC TRAINING LINCESURE
FL
Enumeration date
09/16/2021
Last updated
09/16/2021
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