Individual
JOHN CHRISTOPHER MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
6819 20TH ST N, SAINT PETERSBURG, FL 33702-6440
(727) 742-9419
Mailing address
6819 20TH ST N, SAINT PETERSBURG, FL 33702-6440
(727) 742-9419
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA8244
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA8244
MASSAGE THERAPIST
FL
Enumeration date
03/16/2007
Last updated
07/08/2007
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