Robert Michael Burton, A.T.C., L.A.T.
Specialist/Technologist, Athletic Trainer in Palm City, FL. Individual provider (NPI-1).
NPI number1790908093
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790908093
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Michael Burton
- Credential
- A.T.C., L.A.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AL 360 | FL | Yes |
Practice location
2933 Sw Brighton WayPalm City, FL 34990-6085
Phone 772-219-0405
Mailing address
2933 Sw Brighton WayPalm City, FL 34990-6085
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