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Organization
NEOBODY INC
Active
Organization
NEOBODY INC
Active
Parent organization
NEOBODY INC
Other names
NeoBody Works
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEOBODY INC
Authorized official
AJAYI MILLER L.M.T, B.P (MASSAGE THERAPIST/ OWNER)
(813) 473-2744
Entity
Organization
Contact information
Practice address
1435 W BUSCH BLVD, STE B, TAMPA, FL 33612-7621
(813) 473-2744
(813) 434-1624
Mailing address
1435 W BUSCH BLVD, STE B, TAMPA, FL 33612-7621
(813) 473-2744
(813) 434-1624
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 68053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06109200
—
FL
01
—
617186600
OFFICE OF WORKERS COMPENSATION
FL
01
—
MA 68053
STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
10/04/2012
Last updated
07/06/2013
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