Individual
MR. CRAIG MICHAEL SIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4422 DEL PRADO BLVD S, CAPE CORAL, FL 33904-7439
(239) 945-6689
Mailing address
2462 BLACKBURN CIR, CAPE CORAL, FL 33991-3140
(239) 283-9260
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0013710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013710
MASSAGE THERAPY LICENSE
FL
Enumeration date
10/15/2008
Last updated
10/15/2008
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