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Organization
THERAPEUTIC MASSAGE OF SOUTHWEST FLORIDA, INC.
Active
Organization
THERAPEUTIC MASSAGE OF SOUTHWEST FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY R GLIDDEN L.M.T. (PRESIDENT-OWNER)
(239) 994-6558
Entity
Organization
Contact information
Practice address
6700 WINKLER RD, SUITE 1, FORT MYERS, FL 33919-7233
(239) 994-6558
(239) 481-0022
Mailing address
3315 SW 12TH AVE, CAPE CORAL, FL 33914-5112
(239) 994-6558
(239) 481-0022
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58593
FL
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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