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Organization

KAREN BURKE LMT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN LOUSIE BURKE LMT (MASSAGE THERAPIST)
(386) 689-1800
Entity
Organization

Contact information

Practice address
5300 S ATLANTIC AVE, UNIT 3402, NEW SMYRNA BEACH, FL 32169-4573
(386) 689-1800
Mailing address
5300 S ATLANTIC AVE, UNIT 3402, NEW SMYRNA BEACH, FL 32169-4573
(386) 689-1800

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA34659
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA34659
MEDICAL MASSAGE THERAPY
FL
Enumeration date
01/08/2015
Last updated
01/08/2015
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