Organization
LAKE PLACID REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA S CRUSE DPT (OWNER)
(863) 465-9991
Entity
Organization
Contact information
Practice address
145 TOWER ST, LAKE PLACID, FL 33852-6836
(863) 465-9991
(863) 465-9906
Mailing address
145 TOWER ST, LAKE PLACID, FL 33852-6836
(863) 465-9991
(863) 465-9906
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT19782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88KKP
FL BLUE
FL
Enumeration date
11/18/2015
Last updated
03/29/2016
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