Individual
IVAN GARCIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5471 W WATERS AVE, TAMPA, FL 33634-1257
(813) 486-0633
Mailing address
7113 N HABANA AVE, TAMPA, FL 33614-4324
(813) 486-0633
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
97602
FL
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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