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Organization

DEEP KNEAD MEDSPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARCY REGINA MORGAN L.M.T. (OWNER/EXECUTIVE DIRECTOR)
(352) 514-9887
Entity
Organization

Contact information

Practice address
117 NW MONROE AVE, MAYO, FL 32066
(352) 514-9887
(352) 372-3159
Mailing address
4109 NW 44TH CT, GAINESVILLE, FL 32606-4507
(352) 514-9887
(352) 372-3159

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA24270
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C8022
BCBSFL
FL
Enumeration date
02/26/2013
Last updated
05/03/2013
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