Healthcare Provider Details

I. General information

NPI: 1881408383
Provider Name (Legal Business Name): CHRISTOPHER J NEIBORG ATC, CSCS, NREMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 HULL ROAD
GAINESVILLE FL
32611-2727
US

IV. Provider business mailing address

1409 SW 45TH LN
GAINESVILLE FL
32608-9122
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-7002
  • Fax: 352-273-7388
Mailing address:
  • Phone: 586-335-7566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAL7715
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: