Organization
CULTURED BC CORP
Active
Organization
CULTURED BC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILO PEREZ (CEO)
(407) 319-8597
Entity
Organization
Contact information
Practice address
1290 N RIDGE BLVD APT 922, CLERMONT, FL 34711-2896
(407) 319-8597
Mailing address
1290 N RIDGE BLVD APT 922, CLERMONT, FL 34711-2896
(407) 319-8597
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA67733
FL
Other
Enumeration date
12/31/2016
Last updated
12/31/2016
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