Individual
ELLIOT BAKER EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2911 LANGLEY PARK CT, ORLANDO, FL 32835-6148
(407) 360-0535
Mailing address
2911 LANGLEY PARK CT, ORLANDO, FL 32835-6148
(407) 360-0535
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA102727
FL
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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