Individual
LARRY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
850772 US HIGHWAY 17, YULEE, FL 32097-9648
(904) 582-9779
Mailing address
850772 US HIGHWAY 17, YULEE, FL 32097-9648
(904) 582-9779
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA100385
FL
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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