Lopezllavore, Ivan

Lopezllavore, Ivan is an sole proprietor health care provider with primary practice located at 3011 Sabal Bend Dr Ne , Winter Haven FL 33881-5108. He recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Nursing Service Related Providers / Nursing Home Administrator. Nursing & Custodial Care Facilities / Skilled Nursing Facility is his primary health care specialty. Lopezllavore, Ivan can be contacted via phone (863) 651-3040.

Contact Information

Primary practice address
3011 Sabal Bend Dr Ne Winter Haven FL 33881-5108
Phone: (863) 651-3040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X PTA20203 Florida
Nursing Service Related Providers / Nursing Home Administrator 376G00000X NH4843 Florida

Profile Details

NPI number 1740419225
LBN Legal business name Lopezllavore, Ivan
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2009
Last updated Jul 6th, 2009 - about 15 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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