DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLINTON CHARLES WYNN

Active Sole Proprietor

CLINTON CHARLES WYNN is a Athletic Trainer healthcare provider located in NEW PORT RICHEY, Florida. NPI 1124471958 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · NEW PORT RICHEY, FL

Registration Details

NPI Number
1124471958
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2016 (10.075041655916 yrs)
Last Updated
Jul 17, 2016
License
AL1337 (FL)
Sole Proprietor
Yes

Practice Information

Address
5722 BISCAYNE CT # CONDO108
NEW PORT RICHEY, FL, 346522031
Browse FL providers · Browse ZIP 34652
Phone
7275344755
Fax
7278430401
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in NEW PORT RICHEY, FL

Name Credential NPI
MS. MARY CATHERINE MANNING ATC 1881667780
MR. BRADLEY SCOTT WRIGHT ATC 1902922883
DANYALE RENEE MCLEAN 1497121321
JONATHAN MENDRES LAT,ATC 1619644465
THEONI CHITTY 1851118889
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.