Organization
MASSAGE AND WELLNESS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIA MADRIZ (OWNER)
(352) 250-2020
Entity
Organization
Contact information
Practice address
1218 W. DIXIE AVE, SUITE A, LEESBURG, FL 34748
(352) 801-5495
Mailing address
1218 W. DIXIE AVE, SUITE A, LEESBURG, FL 34748
(352) 801-5495
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MM36480
FL
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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