MEDICARE: MR. BRIAN STEVEN LUND MS, 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	AL7233	FL

General Provider Information

NPI Number	:	1639169782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRIAN STEVEN LUND MS, ATC

Provider Business Mailing Address
First Line	:	1543 BULLBUSH WAY
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-7465
Country	:	US
Telephone Number	:	608-345-3272
Fax Number	:

Provider Business Practice Location Address
First Line	:	4180 KEN DIXON WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32816-8029
Country	:	US
Telephone Number	:	608-345-3272
Fax Number	:

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

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	11/19/2025

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