Individual
DAWN M MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
545 AVENUE I SE, WINTER HAVEN, FL 33880-3778
(863) 287-6393
Mailing address
545 AVENUE I SE, WINTER HAVEN, FL 33880-3778
(863) 287-6393
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA26267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT26267
STATE LICENSE
FL
Enumeration date
04/27/2011
Last updated
04/27/2011
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