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Organization

GARDNERS MASSAGE THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER B GARDNER LMT (PRESIDENT / OWNER)
(904) 460-9444
Entity
Organization

Contact information

Practice address
115A FLAGLER BLVD, ST AUGUSTINE, FL 32080-3795
(904) 460-9444
(904) 460-9444
Mailing address
115A FLAGLER BLVD, ST AUGUSTINE, FL 32080-3795
(904) 460-9444
(904) 460-9444

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MM20376
FL

Other

Enumeration date
05/24/2011
Last updated
05/24/2011
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