Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAVONTE FREDERICKS
Active Sole ProprietorJAVONTE FREDERICKS is a Sports Medicine (PM&R) healthcare provider located in ALTAMONTE SPRINGS, Florida. NPI 1285211847 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · ALTAMONTE SPRINGS, FL
Registration Details
- NPI Number
- 1285211847
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2021 (5.4225780921561 yrs)
- Last Updated
- Mar 28, 2021
- License
-
PTA30943 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
535 ONE CENTER BLVD APT 208ALTAMONTE SPRINGS, FL, 327012240Browse FL providers · Browse ZIP 32701
- Phone
- 3212021749
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.