John Donald Blackburn II
Athletic Trainer · Eagle Lake, FL
Practice location
1995 Thunder RdEagle Lake, FL 33839-3086
- Phone
- (863) 224-4085
NPI record
- NPI
- 1700417490
- Entity type
- Individual (Type 1)
- Enumeration date
- January 31, 2020
- Last updated
- January 31, 2020
- Certified
- January 31, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
5880 | FL |
Mailing address
367 Holly Ridge RdWinter Haven, FL 33880-1114
- Phone
- (863) 224-4085
About John Blackburn
John Donald Blackburn II is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1995 Thunder Rd, Eagle Lake, FL 33839-3086. The NPI number 1700417490 was assigned on January 31, 2020 and the record was last updated on January 31, 2020.
John Blackburn lists a license in the registry: #5880 (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 John Donald Blackburn II?
The NPI number is 1700417490.
What is the phone number of John Blackburn?
The phone number listed for the practice location is (863) 224-4085.
Where is John Blackburn located?
1995 Thunder Rd, Eagle Lake, FL 33839-3086.
What is the taxonomy code for John Blackburn?
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.