| NPI | 1710122189 |
|---|---|
| Doing Business As | BAYHAVEN MASSAGE |
| Entity Type | Organization |
| Authorized Contact | DONNA HALL Owner/Therapist 727-822-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL mm19938) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: FL ma 44842) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |