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

Javonte Fredericks

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1285211847

Javonte Fredericks is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Altamonte Springs, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

535 One Center Blvd Apt 208
Altamonte Springs, FL 32701-2240
Phone: (321) 202-1749
Show map & directions

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence PTA30943 (FL)

Record details

NPI number1285211847
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2021
Last updated in NPPESMarch 28, 2021
Certification dateMarch 28, 2021
Mailing address535 One Center Blvd Apt 208, Altamonte Springs, FL 32701-2240