Fossitt, Lawrence Allen

Fossitt, Lawrence Allen is an individual health care provider with primary practice located at 2015 S Maple Ave , Sanford FL 32771-3361. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fossitt, Lawrence Allen can be contacted via phone (407) 328-5420.

Contact Information

Primary practice address
2015 S Maple Ave Sanford FL 32771-3361
Phone: (407) 328-5420
Fax: (407) 328-5430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT19048 Florida

Profile Details

NPI number 1346310026
LBN Legal business name Fossitt, Lawrence Allen
Credentials M.P.T., C.F.M.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jan 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346310026 NPPES
Florida Other PT19048 PROFESSIONAL LICENSE NUM.
Florida Other Y045R PROFESSIONAL LICENSE NUM.

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