Individual
ANDREA GONSALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1985 HOWELL BRANCH RD, MAITLAND, FL 32751-5901
(407) 720-8511
Mailing address
1317 EDGEWATER DR STE 1853, ORLANDO, FL 32804-6350
(352) 405-1112
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA84070
FL
Other
Enumeration date
07/08/2017
Last updated
07/21/2022
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