Individual
MR. JONATHAN KEITH PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
2629 W 23RD ST STE E, PANAMA CITY, FL 32405-2366
(850) 814-0320
Mailing address
2629 WEST 23RD. ST. SUITE E., PANAMA CITY, FL 32405
(850) 814-0320
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA51160
FL
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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