Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN DONALD BLACKBURN II
Active Sole ProprietorMR. JOHN DONALD BLACKBURN II is a Athletic Trainer healthcare provider located in EAGLE LAKE, Florida. NPI 1700417490 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · EAGLE LAKE, FL
Registration Details
- NPI Number
- 1700417490
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2020 (6.3539523316039 yrs)
- Last Updated
- Jan 31, 2020
- License
-
5880 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1995 THUNDER RDEAGLE LAKE, FL, 338393086Browse FL providers · Browse ZIP 33839
- Phone
- 8632244085
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.