| Mr Patrick Dennis Lavallie, | |
|
1010 Us 27 N, Avon Park, FL 33825-2556 | |
| (863) 453-5200 | |
| Not Available |
| Full Name | Mr Patrick Dennis Lavallie |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 1010 Us 27 N, Avon Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568927481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA1438 (Florida) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1336535988 PECOS PAC ID: 2163339722 Enrollment ID: O20150805009289 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Patrick Dennis Lavallie, 208 Trafalgar Way, Lake Placid, FL 33852-7906 Ph: (954) 675-8842 | Mr Patrick Dennis Lavallie, 1010 Us 27 N, Avon Park, FL 33825-2556 Ph: (863) 453-5200 |
Miss Taylour Ann Campbell, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1010 Us 27 N, Avon Park, FL 33825 Phone: 863-453-5200 Fax: 863-453-5308 | |
Mrs. Patricia Holmes Allen, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1010 Us Highway 27 N, Avon Park, FL 33825 Phone: 863-453-5200 | |
Stephanie Marie De Silva, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1010 Us-27, Avon Park, FL 33825 Phone: 863-453-5200 | |
Krishyra Williams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 867 Memorial Dr, Avon Park, FL 33825 Phone: 910-578-8431 |