Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOPHIA DIANE BELLAVISTA, LAT, ATC
ActiveSOPHIA DIANE BELLAVISTA, LAT, ATC is a Athletic Trainer healthcare provider located in PONTE VEDRA BEACH, Florida. NPI 1760973572 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PONTE VEDRA BEACH, FL
Registration Details
- NPI Number
- 1760973572
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 29, 2018 (8.1687147925235 yrs)
- Last Updated
- May 29, 2018
Practice Information
- Address
-
100 EXECUTIVE WAY STE 109PONTE VEDRA BEACH, FL, 320822713Browse FL providers · Browse ZIP 32082
- Phone
- 9045439011
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PONTE VEDRA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MATTHEW BRYAN WANDER | ATC | 1437654597 |
| ANNA SWAN | — | 1043862949 |
| MICHAEL HOLCOMBE | LAT, ATC | 1285441378 |
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.