Individual
DOMINIC PURNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2009 NW 21ST AVE, FORT LAUDERDALE, FL 33311-3439
(904) 556-1585
Mailing address
4081 NW 115TH TER, SUNRISE, FL 33323-1138
(904) 556-1585
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA104076
FL
Other
Enumeration date
02/19/2024
Last updated
02/20/2024
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