Organization
GENTLE MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON BERNAL LMT (MASSAGE THERAPIST)
(305) 343-4177
Entity
Organization
Contact information
Practice address
850 SW 2ND AVE UNIT 1702, MIAMI, FL 33130-3599
(786) 866-9727
(786) 999-8234
Mailing address
6550 SW 16TH ST, MIAMI, FL 33155-1802
(305) 343-4177
(786) 999-8234
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA58323
FL
Other
Enumeration date
12/12/2014
Last updated
12/13/2014
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