Zevon M Stubblefield, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL 1729 Issued in FL

Practice address

3301 College Ave.
Ft. Lauderdale, FL 33314-7796

Phone

(754) 264-9154

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548284300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 N 58TH AVE APT 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211531",
            "telephone_number": "754-264-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 COLLEGE AVE.",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "333147796",
            "telephone_number": "754-264-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBLEFIELD",
        "first_name": "ZEVON",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 1729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strong Mind Mental Health LLC
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• Amy R Stroup, LPN, LMT, FACIALIST
• Amanda Strunin, PH.D.
• Stuart G. Moraitis DDS PA
• James Stuckey
• Lauren Sturgis, RD, LD/N
• Warren M Sturman, MD
• Gabrielle Marie Stutzman, RBT
• Ainna Suarez Alvarez

• Athletic Trainer in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.