NPI 1083974463

Evan T Stubbs, MSATC

Practitioner Athletic Trainer Gulf Breeze, FL

Practice location

Address: 1040 Gulf Breeze Pkwy STE 210, Gulf Breeze, FL 32561-7809
Phone: (850) 916-8462

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1083974463
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 May 2012
Record last updated: 19 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.