Individual
ALFONSO MACEDONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4423 PARK BLVD N, PINELLAS PARK, FL 33781-3540
(727) 827-2825
(727) 827-2809
Mailing address
411 21ST AVE SW, RUSKIN, FL 33570-5535
(813) 359-3657
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 59142
FL
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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