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

Individual provider Athletic Trainer · NPI 1194104257

Lisa Marie Dibenedetto, ATC, LAT is an Athletic Trainer in Jacksonville, 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.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1 Unf Dr
Jacksonville, FL 32224
Phone: (904) 620-5135
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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 AL3305 (FL)

Record details

NPI number1194104257
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedMay 22, 2015
Last updated in NPPESMay 22, 2015

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