Individual
MR. BRUCE LIVINGSTON BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1786 NE 179TH ST, NORTH MIAMI BEACH, FL 33162-1517
(305) 804-8137
Mailing address
1786 NE 179TH ST, NORTH MIAMI BEACH, FL 33162-1517
(305) 804-8137
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA3338
FL
Other
Enumeration date
09/12/2009
Last updated
09/12/2009
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