Individual
GONDEE ROWLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1100 SAWGRASS VILLAGE DR, SUITE 201C, PONTE VEDRA BEACH, FL 32082-5048
(904) 686-4002
(904) 273-6402
Mailing address
1100 SAWGRASS VILLAGE DR, SUITE 201C, PONTE VEDRA BEACH, FL 32082-5048
(904) 686-4002
(904) 273-6402
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA16269 MM13177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007196354
AETNA
FL
01
—
185919351390
HUMANA
FL
01
—
C1468
BLUE CROSS BLUE SHIELD
FL
01
—
FP2797
HEALTH NET
FL
Enumeration date
02/08/2007
Last updated
07/08/2007
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