Individual
GUILLERMO SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8322 N HABANA AVE, TAMPA, FL 33614-2819
(813) 850-4519
Mailing address
8301 VALLEJO PL, TAMPA, FL 33614
(813) 850-4519
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61902
FL
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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