Individual
IVAN OLIVA GEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2417 US HIGHWAY 98 N, LAKELAND, FL 33805-2410
(305) 534-0076
Mailing address
1400 NW 107TH AVE STE 500, SWEETWATER, FL 33172-2746
(305) 534-0076
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA87594
FL
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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