Organization
ALLIANCE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN LOPEZLLAVORE PTA (MANAGER)
(863) 651-3040
Entity
Organization
Contact information
Practice address
3210 WHISPERING TRAILS AVE, WINTER HAVEN, FL 33884-1826
(863) 651-3040
Mailing address
3210 WHISPERING TRAILS AVE, WINTER HAVEN, FL 33884-1826
(863) 651-3040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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