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Individual

MRS. CONNIE MARTHA SHEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
2704 NE 25TH ST, OCALA MSI CENTER FOR PAIN RELIEF LLC, OCALA, FL 34470-3985
(352) 209-3054
(352) 291-5004
Mailing address
2704 NE 25TH ST, OCALA MSI CENTER FOR PAIN RELIEF LLC, OCALA, FL 34470-3985
(352) 209-3054
(352) 291-5004

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA16262
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C8971
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/23/2007
Last updated
01/18/2011
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