Gerald Allen Stevens in Jacksonville - Athletic Trainer
Gerald Allen Stevens - NPI 1720069065
Gerald Allen Stevens is a Athletic Trainer in Jacksonville, Florida. Gerald Allen Stevens practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Gerald Allen Stevens is 1720069065. The last update date is 2007-07-08.
Gerald Allen Stevens's current location address is 11945 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9048802424 and fax number 9048802420. The mailing address for Gerald Allen Stevens is 11945 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Allen Stevens |
|---|---|
| Address | 11945 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9048802424 |
| Fax Number | 9048802420 |
| Sole Proprietor | X |
| Credentials | ATC, LAT |
NPI Number Detail
| NPI Number | 1720069065 |
|---|---|
| Provider Enumeration Date | 2005-11-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11945 San Jose Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322231613 |
| Phone Number | 9048802424 |
| Fax Number | 9048802420 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AL 428 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AL 428 | FL | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gerald Allen Stevens by the Centers for Medicare & Medicaid Services?
The Gerald Allen Stevens has been assigned the NPI (National Provider Identifier) 1720069065 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Gerald Allen Stevens is physically located?
The Gerald Allen Stevens is physically situated at the following address: 11945 San Jose Blvd, Jacksonville, FL, 322231613.
What is Gerald Allen Stevens's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gerald Allen Stevens's specialized field of practice is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of specialization is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720069065 to Gerald Allen Stevens?
The Centers for Medicare & Medicaid Services originally issued the 1720069065 to Gerald Allen Stevens on 2005-11-11.
As of what date were the details pertaining to Gerald Allen Stevens last refreshed?
The information related to the Gerald Allen Stevens, including its address, specialty, and other relevant details, was last updated on 2007-07-08.