Individual
BRETT A PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
224 LAFAYETTE CIR, TALLAHASSEE, FL 32303-6216
(850) 681-2122
Mailing address
224 LAFAYETTE CIR, TALLAHASSEE, FL 32303-6216
(850) 681-2122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA10284
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-5125
BCBSF
FL
Enumeration date
07/02/2008
Last updated
07/02/2008
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