Individual
MR. JAMES JOSEPH PASSIATORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
112 N.W. MADISON CT, PORT SAINT LUCIE, FL 34986-3584
(772) 343-8963
Mailing address
112 N.W. MADISON COURT, PORT SAINT LUCIE, FL 34986-3584
(772) 343-8963
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA57052
FL
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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