MEDICARE: MR. DREW J VAN DAM JR. ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	673	SC

General Provider Information

NPI Number	:	1982677290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DREW J VAN DAM JR. ATC

Provider Business Mailing Address
First Line	:	2421 SHEPHERD CIR
Second Line	:
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225
Country	:	US
Telephone Number	:	609-485-2227
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 VICTORY WAY
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34747-4100
Country	:	US
Telephone Number	:	407-939-2315
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1760578926 — MR. JEFFREY THOMAS BLUM PT
Practice Location Address:

700 VICTORY WAY
KISSIMMEE, FL
34747-4100

Practice Phone: 407-939-2316
Practice Fax: 407-939-2310

1457347981 — CELIA ANN QUINNONEZ MD
Practice Location Address:

710 OAK COMMONS BLVD
KISSIMMEE, FL
34741-4100

Practice Phone: 407-518-1199
Practice Fax: 407-569-1201

1265411185 — MUHAMMAD ASIF MOHIUDDIN M.D.
Practice Location Address:

710 OAK COMMONS BLVD STE 210
KISSIMMEE, FL
34741-4100

Practice Phone: 407-846-6747
Practice Fax: 407-846-6186

1558319871 — CENTER FOR FAMILY PRACTICE & SPORTS MEDICINE P.A.
Practice Location Address:

720 OAK COMMONS BLVD
KISSIMMEE, FL
34741-4100

Practice Phone: 407-933-8036
Practice Fax: 407-932-0215

1568411577 — JOEL MARC WEINBERGER D.O.
Practice Location Address:

720 OAK COMMONS BLVD
KISSIMMEE, FL
34741-4100

Practice Phone: 407-933-2522
Practice Fax: 407-932-0215

1699719187 — M. SIRAJ UL ISLAM M.D.
Practice Location Address:

710 OAK COMMONS BLVD
KISSIMMEE, FL
34741-4100

Practice Phone: 407-518-1199
Practice Fax: 407-569-1201

Directions to “ MR. DREW J VAN DAM JR. ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.