Organization
LAKELAND MEDICAL MASSAGE LLC
Active
Organization
LAKELAND MEDICAL MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER STINNETT (CEO)
(863) 500-9458
Entity
Organization
Contact information
Practice address
335 DORIS DR, LAKELAND, FL 33813-1008
(863) 695-2246
Mailing address
335 DORIS DR, LAKELAND, FL 33813-1008
(863) 695-2246
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MM37858
FL
Other
Enumeration date
04/09/2018
Last updated
02/06/2023
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