Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Andrew Mooney, ATC

Individual provider Athletic Trainer · NPI 1790466969

Ethan Andrew Mooney, ATC is an Athletic Trainer in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3320 Dairy Rd
Melbourne, FL 32904-7604
Phone: (321) 745-0579
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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 7000 (FL)

Record details

NPI number1790466969
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 11, 2023

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