Individual
MR. ALVIN W MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1954 DAIRY RD, W MELBOURNE, FL 32904-4045
(321) 956-7777
(321) 956-2977
Mailing address
162 CAVALIER ST, PALM BAY, FL 32909-1173
(321) 652-2751
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50696
FL
Other
Enumeration date
07/27/2008
Last updated
07/27/2008
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