Individual
MR. ANGEL LUIS VIERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1336 OAKFIELD DR, BRANDON, FL 33511-4851
(813) 520-2501
Mailing address
1364 FOUR SEASONS BLVD, TAMPA, FL 33613-2327
(813) 520-2501
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA72211
FL
Other
Enumeration date
06/16/2013
Last updated
08/19/2014
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