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

DR. DEWAYNE N DUBOSE, ATC, LAT

Active Sole Proprietor

DR. DEWAYNE N DUBOSE, ATC, LAT is a Athletic Trainer healthcare provider located in ORMOND BEACH, Florida. NPI 1639786940 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ORMOND BEACH, FL

Registration Details

NPI Number
1639786940
Provider Type
Individual
Gender
Male
NPI Issued
Sep 30, 2020 (5.834536831027 yrs)
Last Updated
Sep 30, 2020
License
1971 (FL)
Sole Proprietor
Yes

Practice Information

Address
344 CHESHAM ST
ORMOND BEACH, FL, 321740692
Browse FL providers · Browse ZIP 32174
Phone
8133627729
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in ORMOND BEACH, FL

Name Credential NPI
JERI FRANCOEUR MS ATC 1457336034
MR. ANTHONY CRAIG PORTWOOD MS, ATC, LAT 1831156785
MR. ERIK THOMAS NASON MBA, MS, ATC, CSCS 1063441483
VICKI STAFKO 1184092249
ASHLEY SIMPSON ATC 1689166225
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.