Individual
GARY HOMIDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4543 N PINE ISLAND RD STE 2004, SUNRISE, FL 33351-5376
(754) 702-7852
Mailing address
4543 N PINE ISLAND RD, SUITE 2004, SUNRISE, FL 33351
(754) 702-7852
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA106367
FL
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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