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Individual

MR. ROBERT MICHAEL BURTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
A.T.C., L.A.T.

Contact information

Practice address
2933 SW BRIGHTON WAY, PALM CITY, FL 34990-6085
(772) 219-0405
Mailing address
2933 SW BRIGHTON WAY, PALM CITY, FL 34990-6085

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 360
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
ATHLETIC TRAINER
FL
Enumeration date
04/11/2007
Last updated
07/08/2007
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