Individual
BENJAMIN BELDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
203 OAKLAND AVE, TALLAHASSEE, FL 32301-4441
(850) 425-5009
Mailing address
203 OAKLAND AVE, TALLAHASSEE, FL 32301-4441
(850) 425-5009
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
010402-1
NY
225700000X
Massage Therapist
Primary
1173
MA
225700000X
Massage Therapist
MA#9951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5292
BLUECROSS/BLUESHIELD
FL
Enumeration date
03/06/2012
Last updated
03/06/2012
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