Individual
MR. JAMES ANTHONY TRENTACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
96 DOLPHIN BLVD E, PONTE VEDRA BEACH, FL 32082-1713
(904) 285-5566
(904) 543-1488
Mailing address
96 DOLPHIN BLVD E, PONTE VEDRA BEACH, FL 32082-1713
(904) 285-5566
(904) 543-1488
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA13773
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7842
BLUE CROSS PROVIDER
FL
01
—
MA13773
LICENSE NUMBER
FL
Enumeration date
07/23/2006
Last updated
07/08/2007
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