Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lymphedema Treatment Center LLC

Organization Occupational Therapist · NPI 1609045756

Lymphedema Treatment Center LLC is an Occupational Therapist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11512 Lake Mead Ave Unit 604
Jacksonville, FL 32256-9686
Phone: (904) 425-4391
Fax: (904) 425-4392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT12323 (FL)

Record details

NPI number1609045756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rose Corrales — Owner/ Therapist · (904) 425-4391
NPI enumeratedFebruary 22, 2008
Last updated in NPPESFebruary 22, 2008
Mailing address11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686

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