Individual
MR. JEROME CLAUDE COUVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7815 N DALE MABRY HWY, SUITE 202, TAMPA, FL 33614-3203
(813) 500-1593
Mailing address
19107 CHERRY ROSE CIR, LUTZ, FL 33558-9014
(813) 926-1669
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 53902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 53902
MASSAGE ESTABLISHMENT
FL
Enumeration date
09/29/2008
Last updated
08/26/2010
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