Individual
MR. JOE MARUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
4340 NW 46TH TER, GAINESVILLE, FL 32606-4339
(352) 336-1661
(352) 336-3099
Mailing address
4340 NW 46TH TER, GAINESVILLE, FL 32606-4339
(352) 336-1661
(352) 336-3099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00002884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5289
BCBS PROVIDER NUMBER
FL
Enumeration date
01/07/2011
Last updated
01/07/2011
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