Individual
RYAN MADALENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 GALE LEMERAND DR, GAINESVILLE, FL 32611-2051
(352) 514-7957
Mailing address
121 GALE LEMERAND DR, GAINESVILLE, FL 32611-2051
(352) 514-7957
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
FL
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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