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NPI Code Detail

MEDICARE: MRS. LILIAN JOSE PAGKALIWANGAN RPT

MEDICARE: MRS. LILIAN JOSE PAGKALIWANGAN RPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT13022FL

General Provider Information

NPI Number : 1952387425
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LILIAN JOSE PAGKALIWANGAN RPT
Provider Business Mailing Address
First Line : 3885 S FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33813-1109
Country : US
Telephone Number : 863-648-1186
Fax Number : 863-709-1416
Provider Business Practice Location Address
First Line : 3885 S FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33813-1109
Country : US
Telephone Number : 863-648-1186
Fax Number : 863-709-1416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. LILIAN JOSE PAGKALIWANGAN RPT” Practice Location

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