Individual
MR. EDMUNDO LABIAL VILLANUEVA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
5151 S LAKELAND DR, LAKELAND, FL 33813-2518
(863) 682-6182
Mailing address
5151 S LAKELAND DR, LAKELAND, FL 33813-2518
(863) 682-6182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT16439
FL
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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