IndividualActive
David Jantz, LAT, ATC, PES, CES
NPI 1679095954 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Lake Wales, FL
Provider details
- NPI number
- 1679095954
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- LAT, ATC, PES, CES
- Sex
- Male
- Sole proprietor
- Yes
- License
- AL3484 (FL)
Mailing address
13895 Highway 27
Lake Wales, FL 33859
Registry dates
- Enumerated
- 2017-07-08
- Last updated
- 2017-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.