Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIMMY LEE FAIRFAX JR., ATC LAT
Active Sole ProprietorJIMMY LEE FAIRFAX JR., ATC LAT is a Athletic Trainer healthcare provider located in MIAMI, Florida. NPI 1972076305 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MIAMI, FL
Registration Details
- NPI Number
- 1972076305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2019 (7.6038556514329 yrs)
- Last Updated
- Jan 8, 2019
- License
-
AL2413 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14315 SW 106TH CTMIAMI, FL, 331767032Browse FL providers · Browse ZIP 33176
- Phone
- 4845298037
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MIAMI, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER LYNN RESTREPO | ATC | 1467425801 |
| JOHN SABOL | — | 1649244922 |
| MS. LILIANA A MOLINA | ATC, LMT | 1093776973 |
| MR. PETER DAVID MARTZ | ATC, LAT | 1205892429 |
| MR. JOHN A MEIZOSO | ATC | 1710922422 |
| MISS MICHELLE LYNN ODAI | MS, ATC/L, CSCS | 1528004546 |
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.