Organization

Lakeview Idd Therapy Center P.A.

Point of Service in Sebring, FL(View on Map)

Legal Business Name

Lakeview Idd Therapy Center P.A.

NPI Number

1861612830

NPI Type

Organization

Enumeration Date

05/01/2007

Specialties

(Taxonomies)

Code

305S00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3750 EMERGENCY LANE
3750 EMERGENCY LANE

City

Sebring
Sebring

State

FL
FL

Postal Code

33870
33870

Country

US
US

Telephone Number

(863) 471-1511
(863) 471-1511

Authorized Official

Name

Jose Thomas Richards

Title or Position

OWNER

Telephone Number

(863) 471-1511

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address