Organization
GRAND OAKS MASSAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G LAGRASSE JR. (OWNER)
(813) 495-0550
Entity
Organization
Contact information
Practice address
26314 WESLEY CHAPEL BLVD, LUTZ, FL 33559-7208
(813) 527-6987
Mailing address
26314 WESLEY CHAPEL BLVD, LUTZ, FL 33559-7208
(813) 527-6987
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MM27230
FL
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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