MEDSPORTS PROMASSAGE

JACKSONVILLE, FL
NPI1932475167
Entity TypeOrganization
Authorized ContactMONIQUE COLEMAN HAMID
Owner
904-505-0575
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: FL  MA36322)
Enumeration Date2012-04-02
Last Update Date2012-04-02
Business Address
MEDSPORTS PROMASSAGE
3491 PALL MALL DR SUITE 104
JACKSONVILLE, FL 32257-5449
Phone number: 904-505-0575
Mailing Address
MEDSPORTS PROMASSAGE
PO BOX 8565
FLEMING ISLAND, FL 32006-0014
Phone number: 904-505-0575