Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 580 |
NPI | 1326084658 |
---|---|
Provider Name | Mr. John David Lamonda |
First Address | Land O Lakes, FL 34637-7406 |
Second Address | Land O Lakes, FL 34637-7406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 08/07/2007 |