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

Stacey Laron Waters

Individual provider Athletic Trainer · NPI 1497370993

Stacey Laron Waters is an Athletic Trainer in Brandon, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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Practice location Address checks out

804 Childers Loop
Brandon, FL 33511-6105
Phone: (313) 587-2708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (FL)

Record details

NPI number1497370993
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 10, 2020
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020
Mailing address804 Childers Loop, Brandon, FL 33511-6105

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