Individual
LAZARO M MATIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1393 SW 1ST ST, 415, MIAMI, FL 33135-2321
(786) 953-6735
(786) 953-6943
Mailing address
1393 SW 1ST ST, 415, MIAMI, FL 33135-2321
(786) 953-6735
(786) 953-6943
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59774
FL
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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