Individual
MR. ZEVON M STUBBLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3301 COLLEGE AVE., FT. LAUDERDALE, FL 33314-7796
(754) 264-9154
Mailing address
4100 N 58TH AVE APT 102, HOLLYWOOD, FL 33021-1531
(754) 264-9154
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1729
FL
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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