Individual
LOUIS F TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5820 W CYPRESS ST, SUITE B, TAMPA, FL 33607-1751
(813) 636-8811
(813) 636-8855
Mailing address
5820 W CYPRESS ST, SUITE B, TAMPA, FL 33607-1751
(813) 636-8811
(813) 636-8855
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA7069
FL
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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