Individual
PHILLIP DANIEL WARSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7651 GATE PKWY APT 411, JACKSONVILLE, FL 32256-4801
(863) 430-5951
Mailing address
7651 GATE PKWY APT 411, JACKSONVILLE, FL 32256-4801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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