Individual
ALEX EARL BENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1540 INTERNATIONAL PKWY STE 2000, LAKE MARY, FL 32746-5096
(407) 305-6993
Mailing address
610 ELLENDALE DR, WINTER PARK, FL 32792-2758
(407) 462-2514
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
92421
FL
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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