# LVN MEDICAL OFFICE AND PHYSICAL THERAPY CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366957326
- **Authorized official:** YUDITH SIMON ARNP (VP)
- **Authorized official phone:** (305) 803-4502

## Contact information

- **Practice address:** 1406 SE 46TH LN STE 10, CAPE CORAL, FL 33904-8684
- **Practice address phone:** (239) 541-9150
- **Practice address fax:** (239) 541-9181
- **Mailing address:** 1406 SE 46TH LN STE 10, CAPE CORAL, FL 33904-8684
- **Mailing address phone:** (239) 541-9150
- **Mailing address fax:** (239) 541-9181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2017
- **Last updated:** 12/12/2017