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Individual

ANDREA MACHADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T., M.M.R

Contact information

Practice address
2815 W NEW HAVEN AVE STE 302, W MELBOURNE, FL 32904-3655
(321) 725-0073
Mailing address
951 BELLEVUE ST NE, PALM BAY, FL 32907-5533
(321) 795-0519

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
36407
FL

Other

Enumeration date
06/10/2010
Last updated
06/10/2010
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