Individual
EDWARD F LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT CSCS
Contact information
Practice address
4901 E SILVER SPRINGS BLVD, STE 305, OCALA, FL 34470-3228
(352) 263-1811
Mailing address
4901 E SILVER SPRINGS BLVD, SUITE 305, OCALA, FL 34470-3228
(352) 236-1811
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
19528
FL
Other
Enumeration date
08/30/2006
Last updated
11/29/2007
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