Individual
CHARLES PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2240 S MCCALL RD, ENGLEWOOD, FL 34224-5049
(941) 548-1148
(888) 736-8693
Mailing address
2240 S MCCALL RD, ENGLEWOOD, FL 34224-5049
(941) 548-1148
(888) 736-8693
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59495
FL
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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