Individual
MR. LIVAN CARDENTEY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3350 W SOUTHPORT RD, KISSIMMEE, FL 34746-2706
(786) 873-0146
Mailing address
3350 W SOUTHPORT RD, KISSIMMEE, FL 34746-2706
(786) 873-0146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27213
FL
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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