# MARIANA PAVLOVA KAMBUROV

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972784122
- **Gender:** F
- **Credential:** LMT, DOM, LIC. AC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP2980 | FL | Yes |
| 225700000X | Massage Therapist | MA47164 | FL | — |

## Other

- **Enumeration date:** 11/15/2007
- **Last updated:** 02/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1568757854 | NPPES | FL |