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

JACK MIXNER, MS, ATC

Active Sole Proprietor

JACK MIXNER, MS, ATC is a Athletic Trainer healthcare provider located in APOPKA, Florida. NPI 1821665894 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · APOPKA, FL

Registration Details

NPI Number
1821665894
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2021 (5.1410553439271 yrs)
Last Updated
Jun 8, 2021
License
5095 (FL)
Sole Proprietor
Yes

Practice Information

Address
1706 E SEMORAN BLVD STE 107
APOPKA, FL, 327035610
Browse FL providers · Browse ZIP 32703
Phone
4078807772
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in APOPKA, FL

Name Credential NPI
MR. GJEROME DE GUZMAN MOGOL ATC 1265457832
ANDREA ELIZABETH GREIDER ATC, LAT 1760522767
KAYLEE RAMSEY 1396091898
DIANNA KROFT LAT, ATC 1588070114
BRIAN BERG 1679989149
ANTONIO MUNOZ-BERISTAIN LAT, ATC 1629459490
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.