Individual
MR. DAVID RYAN BUFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5011 SCOTT RD, COCOA, FL 32926-2616
(321) 698-9279
Mailing address
5011 SCOTT RD, COCOA, FL 32926-2616
(321) 698-9279
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA53628
FL
Other
Enumeration date
05/08/2010
Last updated
09/12/2010
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