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

MR. STEPHEN MICCIO, ATC, LAT

Active Sole Proprietor

MR. STEPHEN MICCIO, ATC, LAT is a Athletic Trainer healthcare provider located in TARPON SPRINGS, Florida. NPI 1740654482 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · TARPON SPRINGS, FL

Registration Details

NPI Number
1740654482
Provider Type
Individual
Gender
Male
NPI Issued
Nov 18, 2015 (10.750608206598 yrs)
Last Updated
Nov 18, 2015
License
AL 4388 (FL)
Sole Proprietor
Yes

Practice Information

Address
901 GULF RD
TARPON SPRINGS, FL, 346892529
Browse FL providers · Browse ZIP 34689
Phone
7275047899
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.