Individual
BENI ELIZABETH KONICOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3836 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-9413
(954) 421-2355
(954) 421-6455
Mailing address
500 SE 23RD AVE # 2, POMPANO BEACH, FL 33062-6020
(754) 234-2131
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA77264
FL
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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