Individual
BROCK POMINVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3944 FLORIDA BLVD, PALM BEACH GARDENS, FL 33410-2271
(561) 782-5868
Mailing address
6701 MALLARDS COVE RD APT 23G, JUPITER, FL 33458-8924
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA101728
FL
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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