Individual
GARY FERAUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
323 S MARION AVE, KNOX AVE, LAKE CITY, FL 32025-7065
(386) 867-0000
(386) 755-3625
Mailing address
323 S MARION AVE, KNOX AVE, LAKE CITY, FL 32025-7065
(386) 867-0000
(386) 755-3625
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA69439
FL
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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