Organization
HAVEN CARE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER H SORIANO (MANAGING MEMBER)
(863) 513-9054
Entity
Organization
Contact information
Practice address
2225 E EDGEWOOD DR, LAKELAND, FL 33803-3634
(863) 513-9054
(863) 583-0390
Mailing address
5634 HILLVIEW CT, LAKELAND, FL 33810-3246
(863) 513-9054
(863) 583-0390
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
16870
FL
Other
Enumeration date
01/18/2016
Last updated
04/04/2016
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