Individual
MR. MARK ANTHONY HAYWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 W BAY DR STE 121, LARGO, FL 33770-3362
(727) 459-2861
Mailing address
1770 CARDINAL DR, CLEARWATER, FL 33759-1903
(727) 519-8786
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59286
FL
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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