Patrick Augustyn
Individual provider Active NPI Athletic Trainer · Trinity, FL
NPI 1326815614 · NPPES record last updated Dec 7, 2023
Key facts
- NPI
- 1326815614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AL5843 (FL)
- Practice address
- 2323 Little Rd
Trinity, FL 34655-4411 - Phone
- (727) 774-9200
- NPI assigned
- Dec 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL5843 | FL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL5843 | FL | Yes |
Addresses
Primary practice location
2323 Little Rd
Trinity, FL 34655-4411
Mailing address
5553 Violet Dr
New Port Richey, FL 34652-5152
Phone (630) 849-0764
Other practice location 1
10015 Trinity Blvd
Trinity, FL 34655-4589
Phone (727) 203-3760
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.