Individual
MS. MELISSA RECIO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSE MASSAGE THER
Contact information
Practice address
2401 E GRAVES AVE STE 24, ORANGE CITY, FL 32763-8582
(386) 837-8636
Mailing address
1157 W PAGE DR, DELTONA, FL 32725-6062
(386) 837-8636
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA88887
FL
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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