LVN Medical Office and Physical Therapy Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LVN MEDICAL OFFICE AND PHYSICAL THERAPY CORP

Practice address

1406 SE 46TH LN Ste 10
Cape Coral, FL 33904-8684

Phone

(239) 541-9150

Fax

(239) 541-9181

NPI assigned

Dec 12, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yudith Simon, ARNP

Title

VP

Phone

(305) 803-4502

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1366957326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 SE 46TH LN STE 10",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048684",
            "telephone_number": "239-541-9150",
            "fax_number": "239-541-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 SE 46TH LN STE 10",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048684",
            "telephone_number": "239-541-9150",
            "fax_number": "239-541-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LVN MEDICAL OFFICE AND PHYSICAL THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "YUDITH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "305-803-4502",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.