Individual
GUSTAVO DORIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7745 HARDING AVE APT 4, MIAMI BEACH, FL 33141-2134
(305) 992-6144
Mailing address
7745 HARDING AVE APT 4, MIAMI BEACH, FL 33141-2134
(305) 992-6144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA57122
FL
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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