Individual
EUGENIA MARITZA GLADWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12718 HAMPTON PARK BLVD, TAMPA, FL 33624-4126
(813) 265-4950
Mailing address
12718 HAMPTON PARK BLVD, TAMPA, FL 33624-4126
(813) 265-4950
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 53803
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 53803
MASSAGE THERAPIST
FL
Enumeration date
09/17/2008
Last updated
09/30/2019
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