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Individual

DAVID JANTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT, ATC, PES, CES

Contact information

Practice address
13895 HWY 27, LAKE WALES, FL 33859-2549
(863) 368-7567
Mailing address
13895 HIGHWAY 27, LAKE WALES, FL 33859

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AL3484
FL

Other

Enumeration date
07/08/2017
Last updated
07/08/2017
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