Provider Demographics
NPI:1538294566
Name:STEVE LOMAX INC.
Entity Type:Organization
Organization Name:STEVE LOMAX INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:LOMAX
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:561-685-5196
Mailing Address - Street 1:11146 MAINSAIL CT
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449-7415
Mailing Address - Country:US
Mailing Address - Phone:561-685-5196
Mailing Address - Fax:561-792-7194
Practice Address - Street 1:11146 MAINSAIL CT
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449-7415
Practice Address - Country:US
Practice Address - Phone:561-685-5196
Practice Address - Fax:561-792-7194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT6245225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5710Medicare PIN