Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FRED ALBERT BURNETT IV, ATC
Active Sole ProprietorMR. FRED ALBERT BURNETT IV, ATC is a Athletic Trainer healthcare provider located in JACKSONVILLE, Florida. NPI 1396021739 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1396021739
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2011 (14.770978664742 yrs)
- Last Updated
- Oct 31, 2011
- License
-
AL2718 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 UNF DRJACKSONVILLE, FL, 322247699Browse FL providers · Browse ZIP 32224
- Phone
- 9046201500
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. GERALD ALLEN STEVENS | ATC, LAT | 1720069065 |
| MR. SCOTT W WEIL | ATC PTA | 1790757060 |
| MR. JOSEPH M SHEEHAN | ATC, CSCS | 1578537924 |
| MR. WAYNE ALAN BECK III | MSH, ATC, CHES | 1710949094 |
| MR. MARK ALLEN POWER | ATC | 1982653283 |
| LEE CHARLES DISON | ATC/LAT | 1831125103 |
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.