BO GONG

MELBOURNE, FL
NPI1407115835
Professional NameJACK ZHAO
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  MA68483)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  MA68483)
Enumeration Date2012-05-04
Last Update Date2025-02-04
Business Address
Mr. BO GONG
6559 N WICKHAM RD # C-103
MELBOURNE, FL 32940-2052
Phone number: 407-861-6966
Mailing Address
Mr. BO GONG
2579 OAK ST
KISSIMMEE, FL 34744-4946
Phone number: 407-288-4865