Individual
DANIEL LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4820 W NEWBERRY RD, GAINESVILLE, FL 32607-2249
(352) 373-2116
Mailing address
3811 SW 38TH ST, GAINESVILLE, FL 32608-2315
(352) 514-9969
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA57666
FL
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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