Organization
LARRY J. FISHMAN L.M.T. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY JACOB FISHMAN LMT (PRESIDENT)
(954) 599-7577
Entity
Organization
Contact information
Practice address
1262 NW 122ND TER, PEMBROKE PINES, FL 33026-3851
(954) 599-7577
(954) 733-6892
Mailing address
1262 NW 122ND TER, PEMBROKE PINES, FL 33026-3851
(954) 599-7577
(954) 733-6892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA27581
FL
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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