Individual
ANDREA LAURA BENITEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
231 RUBY AVE STE D, KISSIMMEE, FL 34741-5640
(321) 697-5000
Mailing address
231 RUBY AVE STE D, KISSIMMEE, FL 34741-5640
(321) 697-5000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA76947
FL
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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