Individual
MARY DENISE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
245 S HIGHLAND ST, SUITE 6, MOUNT DORA, FL 32757-5781
(352) 978-9964
Mailing address
1144 N GRANDVIEW ST, MOUNT DORA, FL 32757-4964
(352) 978-9964
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50591
FL
Other
Enumeration date
01/10/2008
Last updated
07/08/2010
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