Organization
LAKEVIEW IDD THERAPY CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE R THOMAS RICHARDS D.O. (OWNER)
(863) 471-1511
Entity
Organization
Contact information
Practice address
3750 EMERGENCY LANE, SUITE 1, SEBRING, FL 33870
(863) 471-1511
(863) 471-1512
Mailing address
3750 EMERGENCY LANE, SUITE 1, SEBRING, FL 33870
(863) 471-1511
(863) 471-1512
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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