MR. IVAN LOPEZLLAVORE, PTA

Skilled Nursing Facility

Active Individual
NPI: 1740419225

Practice Address

3011 SABAL BEND DR NE
Winter Haven, FL 33881

Phone: (863) 651-3040

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X No PTA20203 (FL)
Nursing Home Administrator 376G00000X No NH4843 (FL)
Skilled Nursing Facility 314000000X Yes PTA20203 (FL)

Frequently Asked Questions

NPI 1740419225 is the National Provider Identifier for MR. IVAN LOPEZLLAVORE, PTA, a Skilled Nursing Facility provider located in Winter Haven, FL. This NPI was enumerated on July 6, 2009.
MR. IVAN LOPEZLLAVORE, PTA practices at 3011 SABAL BEND DR NE, Winter Haven, FL 33881.

Quick Facts

NPI
1740419225
Type
Individual
Enumerated
Jul 6, 2009
Last Updated
Sep 20, 2024

Nearby Providers