Individual
MRS. BETTY JEAN BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5998 CENTRE ST, STE F, MELROSE, FL 32666-6208
(904) 263-8008
(352) 475-1013
Mailing address
3306 NE COUNTY ROAD 219A, MELROSE, FL 32666-6006
(904) 263-8008
(352) 475-1013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA33800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1845
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
07/26/2010
Last updated
07/26/2010
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