Lakeview Idd Therapy Center P.a.

NPI #1861612830 in Sebring, Florida

Provider Information

NPI Number
1861612830
Entity Type
Organization
Organization Name
Lakeview Idd Therapy Center P.a.
Primary Specialty
Point of Service
Enumeration Date
May 1, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
3750 EMERGENCY LANE
Address 2
SUITE 1
State
Florida
ZIP Code
33870
Phone
(863) 471-1511

Authorized Official

Name
JOSE R THOMAS RICHARDS, D.O.
Title
OWNER
Phone
(863) 471-1511

Specialties & Taxonomy Codes

Specialty
Point of Service

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