Organization
ADVANCED PHYSICAL THERAPY OF LAKE COUNTY, INC.
Active
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
Update your record
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