Organization
FLORIDA THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON BUCK (OWNER)
(386) 328-3743
Entity
Organization
Contact information
Practice address
108 N 19TH ST, PALATKA, FL 32177-3118
(386) 328-3743
(386) 328-3038
Mailing address
610 S 14TH ST, PALATKA, FL 32177-5018
(386) 328-3743
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MM18064
FL
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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