Organization
BLUE ZONE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRICA DORE (OWNER)
(954) 213-5903
Entity
Organization
Contact information
Practice address
1488 S PALM AVE, PEMBROKE PINES, FL 33025-5520
(954) 367-9015
Mailing address
1488 S PALM AVE, PEMBROKE PINES, FL 33025-5520
(954) 367-9015
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50141
FL
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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