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

Jae Hwan Song, ATC

Individual provider Athletic Trainer · NPI 1265823421

Jae Hwan Song, ATC is an Athletic Trainer in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2015
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

640 Dr Mary McLeod Bethune Blvd Handfiled Athletic Training Ctr
Daytona Beach, FL 32114-3012
Phone: (386) 481-2261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL3738 (FL)

Record details

NPI number1265823421
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedFebruary 10, 2015
Last updated in NPPESFebruary 10, 2015
Mailing address1400 Hancock Blvd Apt 1312, Daytona Beach, FL 32114-5636

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