Individual
MR. ENOCH LEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 S ORANGE BLOSSOM TRL STE 304, ORLANDO, FL 32809-5736
(407) 923-0458
Mailing address
951 SALT POND PL UNIT 102, ALTAMONTE SPRINGS, FL 32714-7635
(407) 923-0458
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA90560
FL
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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