Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Dewayne N Dubose, ATC, LAT

Individual provider Athletic Trainer · NPI 1639786940

Dr. Dewayne N Dubose, ATC, LAT is an Athletic Trainer in Ormond Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

344 Chesham St
Ormond Beach, FL 32174-0692
Phone: (813) 362-7729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1971 (FL)

Record details

NPI number1639786940
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedSeptember 30, 2020
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020

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