Individual
ETHAN MACCOY WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8120 SW 52ND LN, GAINESVILLE, FL 32608-7435
(862) 244-7210
Mailing address
8120 SW 52ND LN, GAINESVILLE, FL 32608-7435
(862) 244-7210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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