Dylan Wiedeman, ATC,LAT
Athletic Trainer · Saint Augustine, FL
Practice location
2024 E Clovelly LnSaint Augustine, FL 32092-1093
- Phone
- (904) 495-4485
NPI record
- NPI
- 1699182584
- Entity type
- Individual (Type 1)
- Enumeration date
- July 13, 2014
- Last updated
- July 13, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
AL 3846 | FL |
About Dylan Wiedeman
Dylan Wiedeman, ATC,LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 2024 E Clovelly Ln, Saint Augustine, FL 32092-1093. The NPI number 1699182584 was assigned on July 13, 2014 and the record was last updated on July 13, 2014.
Dylan Wiedeman lists a license in the registry: #AL 3846 (FL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Dylan Wiedeman, ATC,LAT?
The NPI number is 1699182584.
What is the phone number of Dylan Wiedeman?
The phone number listed for the practice location is (904) 495-4485.
Where is Dylan Wiedeman located?
2024 E Clovelly Ln, Saint Augustine, FL 32092-1093.
What is the taxonomy code for Dylan Wiedeman?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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