Individual
MR. BRUCE ALLEN GONSETH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
611 NE 25TH AVE, OCALA, FL 34470-7033
(352) 362-9469
(352) 369-1122
Mailing address
23222 NE 159TH AVE, FORT MC COY, FL 32134-8359
(352) 546-5659
(352) 369-1122
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59342
FL
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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