Healthcare Provider Details

I. General information

NPI: 1215636832
Provider Name (Legal Business Name): PEYTON WEBB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HOLT AVE
WINTER PARK FL
32789-4499
US

IV. Provider business mailing address

1000 HOLT AVE
WINTER PARK FL
32789-4409
US

V. Phone/Fax

Practice location:
  • Phone: 407-455-3589
  • Fax:
Mailing address:
  • Phone: 407-455-3589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAL7280
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: