Individual
GEORGE DOSDOS SACLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
339 RACETRACK RD NW, SUITE 12, FORT WALTON BEACH, FL 32547-1538
(850) 368-3393
(850) 398-5923
Mailing address
339 RACETRACK RD NW, SUITE 12, FORT WALTON BEACH, FL 32547-1538
(850) 368-3393
(850) 398-5923
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 39398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22203
WORKERS COMP.
FL
01
—
22231
AUTOMOBILE ACCIDENT INSURANCE (PIP)
—
01
—
39398
BLUE CROSS AND BLUE SHIELD
FL
Enumeration date
04/20/2009
Last updated
04/20/2009
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