Organization
BRANDBODYWORKS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARL ROBERTS-ROSENBERG LMT (CEO)
(727) 822-2437
Entity
Organization
Contact information
Practice address
5047 CENTRAL AVE, ST PETERSBURG, FL 33710
(727) 202-8685
(727) 208-8716
Mailing address
5047 CENTRAL AVE, ST PETERSBURG, FL 33710-8240
(727) 202-8685
(727) 208-8716
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MM37612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000873200
—
FL
01
—
0539414
AMERIGROUP
FL
Enumeration date
01/29/2018
Last updated
06/11/2019
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