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Javonte Fredericks

Sports Medicine

535 One Center Blvd Apt 208
Altamonte Springs , Florida 32701-2240

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Javonte Fredericks

Sports Medicine

535 One Center Blvd Apt 208
Altamonte Springs , Florida 32701-2240

Write a Review Save Call

Javonte Fredericks

Sports Medicine

535 One Center Blvd Apt 208
Altamonte Springs , Florida 32701-2240

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

535 One Center Blvd Apt 208 Altamonte Springs , Florida 32701-2240

First Address

  • Javonte Fredericks
  • 535 One Center Blvd Apt 208
  • Altamonte Springs, FL
  • Zip : 32701-2240
  • Phone :

Second Address

  • Javonte Fredericks
  • 535 One Center Blvd Apt 208
  • Altamonte Springs, FL
  • Zip : 32701-2240
  • Phone : (321) 202-1749

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FAQs


Where did Javonte Fredericks attend graduate school?

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Where did Javonte Fredericks do his residency?

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Where did Javonte Fredericks do his fellowship?

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Is Javonte Fredericks board certified?

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What type of doctor is Javonte Fredericks

Sports Medicine

In what state does Javonte Fredericks practice in?

Florida

Where is Javonte Fredericks ’s practice located?

535 One Center Blvd Apt 208 , Altamonte Springs, Florida, 32701-2240

What is Javonte Fredericks ’s gender?

Male

Is Javonte Fredericks a sole practitioner?

No

Is Javonte Fredericks accepting new patients?

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What languages does Javonte Fredericks speak?

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Does Javonte Fredericks accept insurance?

Yes, Javonte Fredericks accepts insurance

Does Javonte Fredericks offers telemedicine?

Javonte Fredericks has not indicated if he offers telemedicine

What is Javonte Fredericks ’s professional license number?

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What is Javonte Fredericks ’s NPI number?

1285211847

Does Javonte Fredericks have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2081S0010X Sports Medicine PTA30943 FL
Y 213ES0000X Sports Medicine PTA30943 FL

National Provider Identifier

NPI 1285211847
Provider Name Javonte Fredericks
First Address Altamonte Springs, FL 32701-2240
Second Address Altamonte Springs, FL 32701-2240
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 28/03/2021
Last Update Date 28/03/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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