| NPI | 1508207648 |
|---|---|
| Doing Business As | ACTIVERX OF LADY LAKE |
| Entity Type | Organization |
| Authorized Contact | UTKARSH S PATEL Co Owner & Operator 352-205-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL 125278) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2014-02-13 |