Individual
JACQUELINE BAZEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6362 CYPRESS GARDENS BLVD, WINTER HAVEN, FL 33884-3176
(863) 320-0617
Mailing address
1880 AVENUE Q SW, WINTER HAVEN, FL 33880-6529
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA98391
FL
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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