Individual
BENNY BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2 INDEPENDENT DR STE 108, JACKSONVILLE, FL 32202-5016
(904) 437-1347
Mailing address
6325 DELACY RD, JACKSONVILLE, FL 32244-1903
(904) 437-1347
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
57604
FL
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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