Individual
DIANE MIRAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 WEDGE CT, SUN CITY CENTER, FL 33573-5157
(813) 363-9394
Mailing address
PO BOX 5811, SUN CITY CENTER, FL 33571-5811
(813) 363-9394
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA43004
FL
Other
Enumeration date
01/25/2008
Last updated
01/28/2008
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