Individual
MR. JAVIER BENITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
919 E 8TH AVE, MOUNT DORA, FL 32757-5011
(305) 903-8402
Mailing address
919 E 8TH AVE, MOUNT DORA, FL 32757-5011
(305) 903-8402
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 53311
FL
Other
Enumeration date
03/16/2009
Last updated
07/27/2011
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