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Organization
SPAME
Active
Organization
SPAME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD TOWNSEND M.D. (OWNER/ MEDICAL DIRECTOR)
(904) 824-9804
Entity
Organization
Contact information
Practice address
120 GATEWAY CIR, SUITE 2, SAINT JOHNS, FL 32259-4082
(904) 824-9804
(904) 826-3806
Mailing address
120 GATEWAY CIR, SUITE 2, SAINT JOHNS, FL 32259-4082
(904) 824-9804
(904) 826-3806
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MM24971
FL
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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