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Organization
MEDICAL MASSAGE INC
Active
Organization
MEDICAL MASSAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUSTAVO J. MEDOSKY L.M.T. (PRESIDENT)
(954) 536-0767
Entity
Organization
Contact information
Practice address
1912 S UNIVERSITY DR, DAVIE, FL 33324-5849
(954) 536-0767
Mailing address
6681 SW 20TH ST, PLANTATION, FL 33317-5104
(954) 536-0767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/16/2007
Last updated
03/23/2011
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