Portwood, Anthony Craig

Portwood, Anthony Craig is an individual health care provider with primary practice located at 1151 W Granada Blvd , Ormond Beach FL 32174-5912. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Portwood, Anthony Craig can be contacted via phone (386) 677-6455.

Contact Information

Primary practice address
1151 W Granada Blvd Ormond Beach FL 32174-5912
Phone: (386) 677-6455
Fax: (386) 677-6030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL421 Florida

Profile Details

NPI number 1831156785
LBN Legal business name Portwood, Anthony Craig
Credentials MS, ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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