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

Mr. Gerald Allen Stevens, ATC, LAT

Individual provider Athletic Trainer · NPI 1720069065

Mr. Gerald Allen Stevens, ATC, LAT is an Athletic Trainer in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
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

11945 San Jose Blvd Ste 202
Jacksonville, FL 32223-1613
Phone: (904) 880-2424
Fax: (904) 880-2420
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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 AL 428 (FL)

Record details

NPI number1720069065
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedNovember 11, 2005
Last updated in NPPESJuly 13, 2026

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