KYLIE JAE LAVINE

ST AUGUSTINE, FL
NPI1417641010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PTT40277)
Enumeration Date2023-06-06
Last Update Date2023-06-06
Business Address
KYLIE JAE LAVINE
200 SOUTHPARK BLVD STE 102
ST AUGUSTINE, FL 32086-3129
Phone number: 774-670-8023
Mailing Address
KYLIE JAE LAVINE
3400 GULF SHORE BLVD N APT N8
NAPLES, FL 34103-3609
Phone number: 774-670-8023