Individual provider · NPI-1

Brock Ackerman, ATC

Emergency Medicine, Sports Medicine · Tallahassee, FL

NPI number1295413128
StatusActive
Last updated in NPPESJul 10, 2023

Details

NPI
1295413128
Entity type
Individual (NPI-1)
Name
Brock Ackerman
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
Jul 10, 2023
Certification date
Jul 10, 2023
Last updated
Jul 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207PS0010X Emergency Medicine, Sports MedicineAL6300FLYes

Practice location

960 Learning Way
Tallahassee, FL 32306-0001

Phone 850-644-0570

Mailing address

1100 N Bronough St
Tallahassee, FL 32303-6008

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