Daryl Mullholand
Specialist/Technologist, Athletic Trainer in Saint Petersburg, FL. Individual provider (NPI-1).
NPI number1669822508
StatusActive
Last updated in NPPESJun 21, 2016
Details
- NPI
- 1669822508
- Entity type
- Individual (NPI-1)
- Name
- Daryl Mullholand
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2016
- Last updated
- Jun 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AL915 | FL | Yes |
Practice location
880 6th St SSaint Petersburg, FL 33701-4827
Phone 727-767-4257
Mailing address
1009 Woodcrest AveClearwater, FL 33756-4670
Phone 727-505-4776
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