Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID JANTZ, LAT, ATC, PES, CES
Active Sole ProprietorDAVID JANTZ, LAT, ATC, PES, CES is a Sports Medicine (PM&R) healthcare provider located in LAKE WALES, Florida. NPI 1679095954 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · LAKE WALES, FL
Registration Details
- NPI Number
- 1679095954
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2017 (9.1473704912814 yrs)
- Last Updated
- Jul 8, 2017
- License
-
AL3484 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13895 HWY 27LAKE WALES, FL, 338592549Browse FL providers · Browse ZIP 33859
- Phone
- 8633687567
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.