BRANDON CENTENO (NPI# 1548711773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548711773 |
| Entity Type | Individual |
| Full Name | BRANDON CENTENO |
| Credential | ATC, LAT |
| Practice Address |
15255 Max Leggett Pkwy Suite 6600 Jacksonville FL 32218-7273 |
| Practice Telephone | 9048025260 |
| Mailing Telephone | 9048025260 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL3946 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
15255 MAX LEGGETT PKWY SUITE 6600 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-7273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194727677 | George Michael Hagy | Pharmacist | 15255 Max Leggett Pkwy, Jacksonville, FL 32218 | 2005-08-13 |
| 1417558982 | Alexia King | Registered Nurse | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2020-11-02 |
| 1013524685 | Trevena Nicole Sanders | Nurse Practitioner | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2020-09-28 |
| 1801447685 | Genelyn M Baroso | Pharmacist | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2019-09-24 |
| 1235789546 | Paige Alyssa Bishop | Pharmacist | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2019-09-18 |
| 1841778461 | Hospitalist Medicine Physicians of Florida - Jacksonville, LLC | Internal Medicine | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2018-08-06 |
| 1013419282 | Transcendent Multiservice Assist, LLC | Registered Nurse | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2018-03-05 |
| 1407360894 | Brittany Yonker Allsup | Nurse Practitioner | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2017-11-22 |
| 1609387174 | Lacy Danielle Gulledge | Nurse Practitioner | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2017-10-23 |
| 1578008132 | Oanh Yvonne Green | Nurse Anesthetist, Certified Registered | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2017-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
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|---|---|---|---|---|
| 1003423880 | Amber Simerly Magliocca | Specialist/Technologist | 410 New Bridge St Ste 7b, Jacksonville, NC 28540-4759 | 2020-09-25 |
| 1730717091 | Bryan M Langan | Specialist/Technologist | 8 Sunnydale Ave, Jacksonville, IL 62650-2656 | 2020-03-31 |
| 1184257065 | Tory Ann Cooper | Specialist/Technologist | 8136 Pine Springs Ln, Jacksonville, FL 32244-7445 | 2020-02-19 |
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1194360008 | Shaylee Jade Fouts | Specialist/Technologist | 1210 Corinth Rd, Jacksonville, TX 75766-3208 | 2019-11-14 |
| 1700436144 | Griffin Loflin | Specialist/Technologist | 775 Park Ave Nw, Attn. Sports Medicine, Jacksonville, AL 36265 | 2019-09-17 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1639733975 | Logen Izzak Hirn | Specialist/Technologist | 141 Lakewood Dr, Jacksonville, NC 28546-4633 | 2019-04-23 |
| 1568924348 | Thomas Bradley Vickers | Specialist/Technologist | 11911 Cornelius St, Jacksonville, FL 32246-4004 | 2019-04-02 |
| 1063971729 | Leonardo Sierra | Specialist/Technologist | 11057 Stutz Ct, Jacksonville, FL 32246-1401 | 2019-03-13 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.