Individual
MR. IVAN LOPEZLLAVORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3011 SABAL BEND DR NE, WINTER HAVEN, FL 33881-5108
(863) 651-3040
Mailing address
3210 WHISPERING TRAILS AVE, WINTER HAVEN, FL 33884-1826
(863) 651-3040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA20203
FL
314000000X
Skilled Nursing Facility
Primary
PTA20203
FL
376G00000X
Nursing Home Administrator
NH4843
FL
Other
Enumeration date
07/06/2009
Last updated
09/20/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us