Anthony Mark Staffa, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL #2292 Issued in FL

Practice address

5979 Vineland Rd
Suite 304
Orlando, FL 32819-7800

Phone

(407) 354-3906

Fax

(407) 354-3907

NPI assigned

Oct 15, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cora Health Services, Inc

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)
• Cora Health Services, Inc

  • Athletic Trainer
  • Lake Placid, FL
  • NPI 1831234350
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1295923399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD",
            "address_2": "SUITE 304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197800",
            "telephone_number": "407-354-3906",
            "fax_number": "407-354-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD",
            "address_2": "SUITE 304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197800",
            "telephone_number": "407-354-3906",
            "fax_number": "407-354-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFA",
        "first_name": "ANTHONY",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL #2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Justin Stacer, DO
• Jose Stacey
• Linda Ann Stachowiak, MS/CCCSLP BRS-S
• Christopher Alexander Staczek, CRNA
• Samantha Stadlbaur, MD
• Bruce L. Stafford, LCSW
• Raymond Stafford
• Trina Stage
• Jennifer Staggs, APRN
• Terry Staggs

• Athletic Trainer in Orlando, FL
• Providers in Orlando, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.