Individual
MR. AMOR MIGUEL LADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
141 AVENUE C SW, SUITE 150, WINTER HAVEN, FL 33880-3273
(863) 293-3700
(863) 292-0417
Mailing address
141 AVENUE C SW, SUITE 150, WINTER HAVEN, FL 33880-3273
(863) 293-3700
(863) 292-0417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102318
AVMED
FL
01
—
213840
AMERIGROUP
FL
01
—
5239004
AETNA PPO
FL
01
—
826886
AETNA HMO
FL
01
—
Y4056
BCBS INDIVIDUAL NO.
FL
01
—
Y910G
BCBS GROUP NO.
FL
01
—
Y910J
BCBS INDIVIDUAL NO.
FL
Enumeration date
03/05/2007
Last updated
07/08/2007
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