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

Mr. Trayvond Etienne, MS

Individual provider Clinical Exercise Physiologist · NPI 1194505339

Mr. Trayvond Etienne, MS is an Undefined Non-Physician Type (Specify) in Orlando, Florida. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

3901 E Colonial Dr
Orlando, FL 32803-5230
Phone: (407) 972-0924
Fax: (407) 930-6070
Show map & directions

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

Specialties & licences

Clinical Exercise Physiologist (primary) Taxonomy 224Y00000X · Licence 1076885 (FL)

Record details

NPI number1194505339
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorYes
NPI enumeratedOctober 4, 2023
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Orlando