Individual
CAVAN MAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 EGLIN PKWY NE, FORT WALTON BEACH, FL 32548-4917
(850) 864-0800
Mailing address
109 THIRD AVE SW, FORT WALTON BEACH, FL 32548
(352) 538-7841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA57810
FL
Other
Enumeration date
12/15/2009
Last updated
10/01/2010
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