Individual
PATRICK GORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2600 BUCKINGHAM RD, FORT MYERS, FL 33905-2499
(000) 000-0000
Mailing address
2600 BUCKINGHAM RD, FORT MYERS, FL 33905-2499
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL4508
FLORIDA BOARD OF ATHLETIC TRAINING
FL
Enumeration date
05/25/2016
Last updated
09/14/2020
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