Individual
MR. RAYFORD BEAUFORD ALLEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
19007 NORTH DALE MABRY HWY, LUTZ, FL 33548
(813) 298-7684
(813) 968-7667
Mailing address
14907 GREELEY DR, TAMPA, FL 33625-1963
(813) 298-7684
(813) 968-7667
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA-28726
FL
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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