Organization
TAMPA MASSAGE REHAB SERVICES
Active
Other names
TAMPA MASSAGE REHAB SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YSMARAY DIAZ LMT (MASSAGE THERAPIST)
(813) 374-9000
Entity
Organization
Contact information
Practice address
4523 DREISLER ST, TAMPA, FL 33634-7317
(813) 506-4419
Mailing address
4523 DREISLER ST, TAMPA, FL 33634-7317
(813) 506-4419
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MA62393
FL
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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