Individual
JOHN PAUL BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
151 MARY ESTHER BLVD, STE 307A, MARY ESTHER, FL 32569-1972
(850) 200-7178
Mailing address
91B 4TH AVE, SHALIMAR, FL 32579-1948
(850) 200-7178
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50049
FL
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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