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

Jimmy Lee Fairfax Jr., ATCLAT

Individual provider Athletic Trainer · NPI 1972076305

Jimmy Lee Fairfax Jr., ATCLAT is an Athletic Trainer in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

14315 SW 106th Ct
Miami, FL 33176-7032
Phone: (484) 529-8037
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL2413 (FL)

Record details

NPI number1972076305
Entity typeIndividual (Type 1)
GenderMale
Credentials ATCLAT
Sole proprietorYes
NPI enumeratedJanuary 8, 2019
Last updated in NPPESJanuary 8, 2019

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