DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. IVAN LOPEZLLAVORE, PTA

Active Sole Proprietor

MR. IVAN LOPEZLLAVORE, PTA is a Skilled Nursing Facility healthcare provider located in WINTER HAVEN, Florida. NPI 1740419225 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · WINTER HAVEN, FL

Registration Details

NPI Number
1740419225
Provider Type
Individual
Gender
Male
NPI Issued
Jul 6, 2009 (17.08341062679 yrs)
Last Updated
Sep 20, 2024
Licenses
PTA20203 (FL)
NH4843 (FL)
PTA20203 (FL)
Sole Proprietor
Yes

Practice Information

Address
3011 SABAL BEND DR NE
WINTER HAVEN, FL, 338815108
Browse FL providers · Browse ZIP 33881
Phone
8636513040
Primary Specialty
Skilled Nursing Facility
314000000X
Additional Specialty
376G00000X
Additional Specialty
Skilled Nursing Facility

Other Skilled Nursing Facility Providers in WINTER HAVEN, FL

Name Credential NPI
CHERYLE JOY ULTRA 1528361508
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.