Individual
MR. GERALD ALLEN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
11945 SAN JOSE BLVD, SUITE 202, JACKSONVILLE, FL 32223-1613
(904) 880-2424
(904) 880-2420
Mailing address
11945 SAN JOSE BLVD, SUITE 202, JACKSONVILLE, FL 32223-1613
(904) 880-2424
(904) 880-2420
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL 428
STATE LICENSE
FL
Enumeration date
11/11/2005
Last updated
07/13/2026
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