JAN DERRICK DUBLIN VENTURA

SEBRING, FL
NPI1730300088
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT 23245)
Enumeration Date2007-05-02
Last Update Date2007-07-08
Business Address
-- JAN DERRICK DUBLIN VENTURA PT
6120 US HIGHWAY 27 N
SEBRING, FL 33870-1221
Phone number: 863-471-1223
Mailing Address
-- JAN DERRICK DUBLIN VENTURA PT
837 LICOLN ROAD NORTH EAST
LAKE PLACID, FL 33852
Phone number: 561-706-6132