Individual
NATHANIAL WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
13330 USF LAUREL DR FL 3, TAMPA, FL 33612-6601
(813) 974-6274
(813) 974-9494
Mailing address
28927 STORMCLOUD PASS, WESLEY CHAPEL, FL 33543-6429
(603) 944-5907
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2519
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030802071
NATA BOC
—
01
—
AL2519
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
07/16/2018
Last updated
07/16/2018
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