Wynn, Clinton Charles

Wynn, Clinton Charles is an sole proprietor health care provider with primary practice located at 5722 Biscayne Ct # Condo108 , New Port Richey FL 34652-2031. 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. Wynn, Clinton Charles can be contacted via phone (727) 534-4755.

Contact Information

Primary practice address
5722 Biscayne Ct # Condo108 New Port Richey FL 34652-2031
Phone: (727) 534-4755
Fax: (727) 843-0401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL1337 Florida

Profile Details

NPI number 1124471958
LBN Legal business name Wynn, Clinton Charles
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2016
Last updated Jul 17th, 2016 - about 9 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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