Individual
GENEVA MANILOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 SE 6TH ST STE 1723, FORT LAUDERDALE, FL 33301-5000
(786) 417-5540
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(813) 575-1161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
102436
FL
Other
Enumeration date
09/28/2023
Last updated
08/02/2024
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