IndividualActive
Javonte Fredericks
NPI 1285211847 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Altamonte Springs, FL
Provider details
- NPI number
- 1285211847
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA30943 (FL)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense PTA30943 (FL)
Allopathic & Osteopathic Physicians
Practice location
535 One Center Blvd Apt 208
Altamonte Springs, FL 32701-2240
Phone: (321) 202-1749
Approximate (ZIP-level) locationGet directions
Mailing address
535 One Center Blvd Apt 208
Altamonte Springs, FL 32701-2240
Registry dates
- Enumerated
- 2021-03-28
- Last updated
- 2021-03-28
- Certified
- 2021-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.