Kevin Wayne Vanwart in Leesburg - Sports
Kevin Wayne Vanwart - NPI 1346372836
Kevin Wayne Vanwart is a Sports in Leesburg, Florida. Kevin Wayne Vanwart practices all healthcare services and medical treatments related to Sports. The NPI Number for Kevin Wayne Vanwart is 1346372836. The last update date is 2018-07-26.
Kevin Wayne Vanwart's current location address is 600 W North Blvd, Leesburg, Florida. You can contact this provider via phone number 3527879300. The mailing address for Kevin Wayne Vanwart is 600 W North Blvd, Leesburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Wayne Vanwart |
|---|---|
| Address | 600 W North Blvd, Leesburg, Florida |
| Phone Number | 3527879300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1346372836 |
|---|---|
| Provider Enumeration Date | 2007-03-10 |
| Last Updated Date | 2018-07-26 |
Provider Mailing Address Detail
| Address | 600 W North Blvd |
|---|---|
| City | Leesburg |
| State | Florida (FL) |
| Post Code | 34748 |
| Phone Number | 3527879300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT4709 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT4709 | FL | STATE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kevin Wayne Vanwart?
The Kevin Wayne Vanwart has been issued the NPI (National Provider Identifier) 1346372836 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kevin Wayne Vanwart's physical address?
The Kevin Wayne Vanwart is physically located at 600 W North Blvd, in the city of Leesburg, FL, with the postal code 34748.
What is Kevin Wayne Vanwart's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Wayne Vanwart's specialized field of practice is Sports, and the corresponding taxonomy code that categorizes this area of specialization is 2251S0007X.
On what date was the 1346372836 assigned to Kevin Wayne Vanwart?
The Kevin Wayne Vanwart was issued its 1346372836 on 2007-03-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kevin Wayne Vanwart most recently updated or revised?
The information pertaining to Kevin Wayne Vanwart, including its address, specialty, and other relevant details, was last updated or revised on 2018-07-26.
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