Individual
MATTHEW THOMAS GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10017 CLEARY BLVD, PLANTATION, FL 33324-1000
(954) 916-1133
(954) 916-0096
Mailing address
10335 NW 5TH AVE, MIAMI, FL 33150-1101
(786) 385-4973
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA40214
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA40214
LMT
FL
Enumeration date
06/25/2007
Last updated
07/08/2007
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