DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. NEVILLE WILLIBE SPURGEON JR. MS, ATC, LAT

MEDICARE: MR. NEVILLE WILLIBE SPURGEON JR. MS, ATC, LAT
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
12255A2300XAthletic TrainerAL4321FL

General Provider Information

NPI Number : 1639549272
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NEVILLE WILLIBE SPURGEON JR. MS, ATC, LAT
Provider Business Mailing Address
First Line : 2851 NW 21ST CT
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33311-3315
Country : US
Telephone Number : 954-205-1595
Fax Number :
Provider Business Practice Location Address
First Line : 640 DR MARY MCLEOD BETHUNE BLVD
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-3012
Country : US
Telephone Number : 386-481-2281
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2015
Last Update Date : 09/25/2015

Similar Medicare Providers

1922074293 — MR. BRIAN WILLIAM JANSEN ATC, LAT
Practice Location Address:
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
32114-3012
Practice Phone: 386-481-2261
Practice Fax: 386-481-2265
1275688640 — LANI ELLEN LUERS ATC
Practice Location Address:
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
32114-3012
Practice Phone: 386-481-2262
Practice Fax: 386-481-2265
1689076499 — BETHUNE-COOKMAN UNIVERSITY
Practice Location Address:
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
32114-3012
Practice Phone: 386-421-2215
Practice Fax:
1619367356 — ITSUKO YAMAGUCHI M.S., ATC, LAT
Practice Location Address:
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
32114-3012
Practice Phone: 386-481-2281
Practice Fax:
1265823421 — JAE HWAN SONG ATC
Practice Location Address:
640 DR MARY MCLEOD BETHUNE BLVD , HANDFILED ATHLETIC TRAINING CENTER
DAYTONA BEACH, FL
32114-3012
Practice Phone: 386-481-2261
Practice Fax:
1689128431 — MATTHEW LUERS A.T.,C.
Practice Location Address:
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
32114-3012
Practice Phone: 386-481-2261
Practice Fax:

Directions to “ MR. NEVILLE WILLIBE SPURGEON JR. MS, ATC, LAT” 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.