Healthcare Provider Details

I. General information

NPI: 1215832308
Provider Name (Legal Business Name): THE VILLAGES INJURY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W GUAVA ST STE 206
LADY LAKE FL
32159-1702
US

IV. Provider business mailing address

201 W GUAVA ST STE 206
LADY LAKE FL
32159-1702
US

V. Phone/Fax

Practice location:
  • Phone: 352-430-0473
  • Fax:
Mailing address:
  • Phone: 352-430-0473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. DAVID DORFMAN
Title or Position: PRESIDENT
Credential: D.C.
Phone: 954-818-3160