Individual
JAMES LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1409 KINGSLEY AVE, ORANGE PARK, FL 32073-4537
(407) 497-3266
Mailing address
145 DOVER BLUFF DR, ORANGE PARK, FL 32073-7667
(407) 497-3266
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22165
FL
Other
Enumeration date
08/01/2008
Last updated
02/26/2025
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