Individual
JOHN FRANK STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
49 S ATLANTIC AVE, COCOA BEACH, FL 32931-2713
(312) 783-5592
(321) 783-0558
Mailing address
1312 SAINT ANDREWS DR, ROCKLEDGE, FL 32955-2529
(321) 635-8219
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA12199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7271
BLUE CROSS BLUE SHIELD
FL
01
—
MA12199
FL MASSAGE LICENSE NUMBER
FL
Enumeration date
01/20/2007
Last updated
07/08/2007
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