Individual
JUAN CARLOS FLEITAS
Active
Individual
JUAN CARLOS FLEITAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA 67136
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA67136
FL
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MA67136
—
FL
Enumeration date
01/26/2020
Last updated
01/26/2020
Update your record
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