Organization
ADVANCED PHYSICAL THERAPY OF LAKE COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE ANN MONERT MPT (OWNER)
(352) 735-8543
Entity
Organization
Contact information
Practice address
3800 LAKE CENTER DR STE B3, MOUNT DORA, FL 32757-2208
(352) 735-8543
(352) 735-8551
Mailing address
3800 LAKE CENTER DR STE B3, MOUNT DORA, FL 32757-2208
(352) 735-8543
(352) 735-8551
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
PT17889
FL
261QP2000X
Physical Therapy Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
681950
ACN GROUP - S. HOUSTOUN
FL
01
—
7830261
AETNA PROVIDER ID
FL
01
—
829437
ACN GROUP - DENISE MONERT
FL
05
—
887503100
—
FL
Enumeration date
03/20/2007
Last updated
07/21/2022
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