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Organization
ROGER GRECO L.M.T. LLC
Active
Organization
ROGER GRECO L.M.T. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER GRECO L.M.T. (OPERATING MANAGER AND SECRETARY)
(407) 712-5280
Entity
Organization
Contact information
Practice address
1011 VIRGINIA DR, SUITE 102, ORLANDO, FL 32803-2531
(407) 712-5280
Mailing address
3218 ANDERSON PL, ORLANDO, FL 32803-6744
(407) 712-5280
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002636200
—
FL
Enumeration date
07/19/2010
Last updated
06/17/2011
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