Individual
ALAN THOMAS REPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2929 NW 13TH ST, GAINESVILLE, FL 32609-2831
(352) 375-0295
Mailing address
PO BOX 2578, WINTER HAVEN, FL 33883-2578
(813) 267-4120
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 64921
FL
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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