Individual
EDMUND JOHN KOZLOWSKI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
18451 RED WILLOW WAY, LAND O LAKES, FL 34638-6060
(407) 616-3952
(813) 996-3873
Mailing address
18451 RED WILLOW WAY, LAND O LAKES, FL 34638-6060
(407) 616-3952
(813) 996-3873
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 69732
FL
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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