Individual
LUCITO CESAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6914 E FOWLER AVE, TEMPLE TERRACE, FL 33617-1705
(813) 770-0282
Mailing address
1501 E LOUISIANA AVE, TAMPA, FL 33610-6032
(813) 770-0282
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA90188
FL
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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