Individual
ETHAN D BYRNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4409 W SLIGH AVE, TAMPA, FL 33614-3697
(813) 380-7168
Mailing address
4409 W SLIGH AVE, TAMPA, FL 33614-3697
(813) 380-7168
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000008359
FL
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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