Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GERALD ALLEN STEVENS, ATC, LAT
ActiveMR. GERALD ALLEN STEVENS, ATC, LAT is a Athletic Trainer healthcare provider located in JACKSONVILLE, Florida. NPI 1720069065 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1720069065
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2005 (20.572861433082 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AL 428 (FL)
Practice Information
- Address
-
11945 SAN JOSE BLVDSUITE 202JACKSONVILLE, FL, 322231613Browse FL providers · Browse ZIP 32223
- Phone
- 9048802424
- Fax
- 9048802420
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| 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 |
| MICHELLE K DUCLOS | MA, ATC, LAT | 1972522449 |
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.