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Organization
SERENITY THERAPEUTIC MASSAGE
Active
Organization
SERENITY THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL HENDERSON SR. LMT (OWNER / THERAPIST)
(863) 337-4463
Entity
Organization
Contact information
Practice address
11953 S APOPKA VINELAND RD, ORLANDO, FL 32836-7025
(863) 337-4463
Mailing address
929 GILMORE AVE, APT 34, LAKELAND, FL 33801-1887
(863) 337-4463
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA75231
FL
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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