Individual
MR. JOHN WILLIAM DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2010 EDGEWATER DR, ORLANDO, FL 32804-5312
(407) 423-0038
Mailing address
PO BOX 151254, ALTAMONTE SPRINGS, FL 32715-1254
(407) 228-0372
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA#8526
FL
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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