Individual
MR. DWIGHT T. SWEAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T., P.T.A.
Contact information
Practice address
1394 NW LABONTE LN, LAKE CITY, FL 32055-2578
(386) 752-5272
Mailing address
1394 NW LABONTE LN, LAKE CITY, FL 32055-2578
(386) 752-5272
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20982
FL
225700000X
Massage Therapist
MA 38578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690499896
—
FL
Enumeration date
03/21/2007
Last updated
03/13/2012
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