Individual
JUSTIN ERIC MAINIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2100 LEE RD STE F, WINTER PARK, FL 32789-1862
(407) 756-3005
Mailing address
300 N NEW YORK AVE, PO BOX 1101, WINTER PARK, FL 32789-9998
(407) 756-3005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA95821
FL
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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