Individual
KEITH BERNABEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2480 E BAY DR # 13, LARGO, FL 33771-2467
(727) 530-7778
Mailing address
9579 121ST ST, SEMINOLE, FL 33772-2604
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA42038
FL
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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