| NPI | 1528331568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN M RODRIGUEZ Owner 239-362-3727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA66063) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME90692) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |