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Individual

MR. DAVID PAUL SCHROETER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICENSED MASSAGE THE

Contact information

Practice address
700 E LINCOLN AVE, SUITE # 2, MELBOURNE, FL 32901-4800
(321) 953-6515
(321) 953-6515
Mailing address
700 E LINCOLN AVE, SUITE # 2, MELBOURNE, FL 32901-4800
(321) 953-6515
(321) 953-6515

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 23326
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA - 23326
STATE MASSAGE LICENSE #
FL
01
MM 8525
ESTABLISHMENT LIC #
FL
Enumeration date
12/14/2006
Last updated
07/09/2007
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