Individual
JAMES LIBONATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
1881 NE 26TH ST STE 200A, WILTON MANORS, FL 33305-1427
(954) 600-5843
(954) 653-2955
Mailing address
801 W OAKLAND PARK BLVD APT C5, WILTON MANORS, FL 33311-1744
(954) 600-5843
(954) 653-2955
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693030100
—
FL
Enumeration date
12/28/2017
Last updated
12/28/2017
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