Individual
MS. JULIE ANN COSENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1411 NW 6TH ST, UNIT 120, GAINESVILLE, FL 32601-4021
(352) 870-2381
Mailing address
11321 SW 158TH ST, ARCHER, FL 32618-3941
(352) 495-7646
(352) 495-7646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA15043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7068
BCBS PROVIDER ID
FL
Enumeration date
03/20/2007
Last updated
04/08/2013
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