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Individual

LEWIN JOSEPH THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HHP, HLC2, IMS2, RMT

Contact information

Practice address
9416 SW 182ND TER, PALMETTO BAY, FL 33157-5688
(305) 986-4265
Mailing address
9416 SW 182ND TER, PALMETTO BAY, FL 33157-5688
(305) 986-4265

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA98160
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
87-2063533
DEPARTMENT OF TREASURY IRS
FL
Enumeration date
10/31/2022
Last updated
10/31/2022
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