Individual
MR. CONNOR LOUIS GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4805 BAY HERON PL APT 703, TAMPA, FL 33616-2928
(570) 709-7795
Mailing address
4805 BAY HERON PL APT 703, TAMPA, FL 33616-2928
(570) 709-7795
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
06/05/2020
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