Individual
KEVIN WAYNE VANWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
600 W NORTH BLVD, SUITE D, LEESBURG, FL 34748
(352) 787-9300
Mailing address
4600 SE 30TH CT, OCALA, FL 34480-7275
(352) 629-3586
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT4709
FL
2251X0800X
Orthopedic Physical Therapist
Primary
PT4709
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT4709
STATE
FL
Enumeration date
03/10/2007
Last updated
04/02/2026
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