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

Individual provider Athletic Trainer · NPI 1568637742

Ryan Pederson, ATC, LAT is an Athletic Trainer in Clermont, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
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

13322 Excalibur Rd
Clermont, FL 34711-6695
Phone: (352) 242-2080
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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 1539 (FL)

Record details

NPI number1568637742
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedApril 28, 2008
Last updated in NPPESApril 28, 2008
Mailing address13322 Excalibur Rd, Clermont, FL 34711-6695

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