Individual
MRS. GUSTAVO CEPERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8477 CORAL DR, FORT MYERS, FL 33967-2641
(239) 603-6836
(786) 752-3280
Mailing address
17240 S TAMIAMI TRL, SUITE#6, FORT MYERS, FL 33908-4574
(239) 603-6836
(786) 752-3280
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA66643
FL
Other
Enumeration date
01/17/2012
Last updated
01/24/2012
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