Judson Fann is a Athletic Trainer in Deland, Florida. Judson Fann practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Judson Fann is 1982806519. The last update date is 2007-07-08.
Judson Fann's current location address is 118 E Villa Capri Cir, Deland, Florida. You can contact this provider via phone number 3868486715. The mailing address for Judson Fann is 118 E Villa Capri Cir, Deland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judson Fann |
|---|---|
| Address | 118 E Villa Capri Cir, Deland, Florida |
| Phone Number | 3868486715 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS, ATC, L |
NPI Number Detail
| NPI Number | 1982806519 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 118 E Villa Capri Cir |
|---|---|
| City | Deland |
| State | Florida (FL) |
| Post Code | 327247866 |
| Phone Number | 3868486715 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AL1982 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique identifier code issued to Judson Fann by the Centers for Medicare & Medicaid Services?
The Judson Fann has been assigned the NPI (National Provider Identifier) 1982806519. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Judson Fann's facilities are situated?
The facilities of Judson Fann are physically located at the following address: 118 E Villa Capri Cir, Deland, FL, 327247866.
What is Judson Fann's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Judson Fann is Athletic Trainer, and the taxonomy code that classifies this field of practice is 2255A2300X.
On what date did the Judson Fann receive its 1982806519 assignment from the Centers for Medicare & Medicaid Services?
The Judson Fann was assigned its 1982806519 by the Centers for Medicare & Medicaid Services on 2007-06-05.
When was the information regarding Judson Fann most recently updated?
The details pertaining to the Judson Fann, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1023011053
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