Individual provider · Type 1 NPI

Brian William Jansen, ATC, LAT

Specialist · Daytona Beach, FL

NPI number 1922074293 Active

Practice location

640 Dr Mary Mcleod Bethune Blvd
Daytona Beach, FL 32114-3012

Call (386) 481-2261 Map

Fax (386) 481-2265

Mailing address

1610 3rd St
Daytona Beach, FL 32117-4556

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XAL 571 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1922074293

Brian William Jansen, ATC, LAT's National Provider Identifier is 1922074293, issued on Feb 27, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Daytona Beach, FL. The record was last updated on Jul 13, 2026.