MEDICARE: MR. CONNOR LOUIS GIVENS 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

General Provider Information

NPI Number	:	1811466808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CONNOR LOUIS GIVENS ATC

Provider Business Mailing Address
First Line	:	4805 BAY HERON PL APT 703
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33616-2928
Country	:	US
Telephone Number	:	570-709-7795
Fax Number	:

Provider Business Practice Location Address
First Line	:	4805 BAY HERON PL APT 703
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33616-2928
Country	:	US
Telephone Number	:	570-709-7795
Fax Number	:

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

Provider Enumeration Date	:	11/19/2018
Last Update Date	:	06/05/2020

Similar Medicare Providers

1932980737 — SARA RIFORGIAT PHARMD
Practice Location Address:

3102 W GANDY BLVD
TAMPA, FL
33611-2928

Practice Phone: 813-902-1833
Practice Fax:

1598869463 — HOLIDAY CVS LLC
Practice Location Address:

3102 W GANDY BLVD
TAMPA, FL
33611-2928

Practice Phone: 813-902-1833
Practice Fax:

1902962343 — MRS. MIRELLA ROSELVY RUBIO OWNER
Practice Location Address:

3003 W BEACH ST
TAMPA, FL
33607-2928

Practice Phone: 813-500-3508
Practice Fax: 813-500-3508

1003154576 — THOAI NHAN PHAM TANG
Practice Location Address:

3102 W GANDY BLVD
TAMPA, FL
33611-2928

Practice Phone: 813-902-1833
Practice Fax:

1144645854 — MIRELLA'S ASSISTED LIVING LLC
Practice Location Address:

3003 W BEACH ST
TAMPA, FL
33607-2928

Practice Phone: 813-500-3508
Practice Fax:

1043688179 — FRANCISCA MARCIA BENJAMIN BLANCO PHARM.D.
Practice Location Address:

10248 GOLDENBROOK WAY
TAMPA, FL
33647-2928

Practice Phone: 813-482-2306
Practice Fax:

Directions to “ MR. CONNOR LOUIS GIVENS 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.