Sophia Diane Bellavista LAT, ATC

  • 1760973572 NPI Number
  • |
  • Actived: 1 year ago
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According to our database, the NPI number for Sophia Diane Bellavista LAT, ATC is 1760973572 and activated since 1 year ago. Sophia Diane Bellavista LAT, ATC is an individual provider who specializes in Athletic Trainer, and the primary practice location is 100 Executive Way Ste 109, Ponte Vedra Beach, FL 32082. You can also contact Sophia Diane Bellavista LAT, ATC via telephone number is (904) 543-9011. Provider NPI information was last updated on 05/29/2018.

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Overview of Sophia Diane Bellavista LAT, ATC

  • NPI number: 1053943902
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/29/2018
  • Last updated: 05/29/2018

Primary Scrop of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 43 Primrose Ln
    Palm Coast, FL 32164
  • Phone: 904-669-0020
  • Fax:

Provider Practice Location

  • Address: 100 Executive Way Ste 109
    Ponte Vedra Beach, FL 32082
  • Phone: 904-543-9011
  • Fax:

Scope of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Sophia Diane Bellavista LAT, ATC?
  • A: The npi number for Sophia Diane Bellavista LAT, ATC is 1760973572.
  • Q: What are Sophia Diane Bellavista LAT, ATC's specialties?
  • A: Sophia Diane Bellavista LAT, ATC's specialties are Athletic Trainer and different specialities.
  • Q: What is the medical license for Sophia Diane Bellavista LAT, ATC?
  • A: The medical license number for Sophia Diane Bellavista LAT, ATC is unknow and issued in unknow in USA.
  • Q: Where is Sophia Diane Bellavista LAT, ATC practice location?
  • A: Sophia Diane Bellavista LAT, ATC is practicing at 100 Executive Way Ste 109, Ponte Vedra Beach, FL 32082.
  • Q: How to contact Sophia Diane Bellavista LAT, ATC?
  • A: You can contact Sophia Diane Bellavista LAT, ATC via 904-543-9011.