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REGINALD MUNGRUE
NPI 1962018077
Specialist/Technologist - Athletic Trainer in Lakeland, FL

Active since September 23, 2020
111 LAKE HOLLINGSWORTH DR, LAKELAND, FL 33801(863) 680-4267 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reginald Mungrue NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGINALD MUNGRUE (NPI 1962018077) is an individual athletic trainer provider in Lakeland, Florida, licensed in Florida (AL3036) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1962018077
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameREGINALD MUNGRUE
Location Address111 LAKE HOLLINGSWORTH DRLakeland, FL 33801-5698
Mailing Address7357 Gunstock DrLakeland, FL 33809-6616 · (863) 712-0261 · Fax (863) 680-4122
Phone(863) 680-4267
Sole ProprietorNo
Enumeration DateSeptember 23, 2020
NPPES CertifiedSeptember 23, 2020
✔ NPI 1962018077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in FL · AL3036
Definition
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.
111 LAKE HOLLINGSWORTH DR, Lakeland, FL 33801
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS GRESBACH
Student in an Organized Health Care Education/Training Program
111 LAKE HOLLINGSWORTH DR
LAKELAND, FL 33801
Polk County (352) 497-3473
TONI CECIL MAT, LAT, ATC
Physical Medicine & Rehabilitation (Sports Medicine)
111 LAKE HOLLINGSWORTH DR
LAKELAND, FL 33801
Polk County (863) 680-4267
MAXON SLOANE BLOW LAT, ATC, CES
Specialist/Technologist (Athletic Trainer)
111 LAKE HOLLINGSWORTH DR
LAKELAND, FL 33801
Polk County (863) 680-4267
DR. WILLIAM RAYMOND VANWYE PT
Physical Therapist
111 LAKE HOLLINGSWORTH DR
LAKELAND, FL 33801
Polk County (863) 680-4718
ALEXANDER ORR I
Student in an Organized Health Care Education/Training Program
111 LAKE HOLLINGSWORTH DR
LAKELAND, FL 33801
Polk County (954) 665-7585
SCOTT MICHAEL HECKMAN
Student in an Organized Health Care Education/Training Program
111 LAKE HOLLINGSWORTH DR, BOX #4655
LAKELAND, FL 33801
Polk County (779) 225-9454
LOGAN ASH
Student in an Organized Health Care Education/Training Program
111 LAKE HOLLINGSWORTH DR, BOX #4036
LAKELAND, FL 33801
Polk County (863) 680-4267
STEPHANIE KAY GONZALEZ FNP-BC
Nurse Practitioner (Family)
111 LAKE HOLLINGSWORTH DR
LAKELAND, FL 33801
Polk County (863) 687-1376

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reginald Mungrue's NPI number?

The NPI number for Reginald Mungrue is 1962018077. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Reginald Mungrue located?

Reginald Mungrue practices at 111 Lake Hollingsworth Dr, Lakeland, FL 33801. The listed phone number is (863) 680-4267.

What is Reginald Mungrue's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Reginald Mungrue was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.