Individual
BRANDON BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4500 BUTTERFLY LN, NORTH PORT, FL 34288-8859
(831) 717-8402
Mailing address
4500 BUTTERFLY LN, NORTH PORT, FL 34288-8859
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA91365
FL
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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