Individual
MR. GARY PELOQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1830 NE DIXIE HWY, JENSEN BEACH, FL 34957-6445
(772) 225-5555
(772) 225-0675
Mailing address
1830 NE DIXIE HWY, JENSEN BEACH, FL 34957-6445
(772) 225-5555
(772) 225-0675
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA23030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA23030
STATE MASSAGE THERAPY LICENSE
FL
Enumeration date
08/15/2009
Last updated
08/15/2009
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