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Individual

MR. LARRY FISHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
4200 HILLCREST DR APT 701, HOLLYWOOD, FL 33021-7936
(954) 599-7577
Mailing address
4200 HILLCREST DR APT 701, HOLLYWOOD, FL 33021-7936
(954) 599-7577

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0027581
FL

Other

Enumeration date
11/28/2007
Last updated
11/28/2007
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