Organization
EL-NST INC.
Active
Other names
Brandon Pain Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LUGO MM, LMT, CNS (PRESIDENT)
(813) 817-6780
Entity
Organization
Contact information
Practice address
1112 KYLE WOOD LN, BRANDON, FL 33511-4850
(813) 830-2020
Mailing address
1112 KYLE WOOD LN, BRANDON, FL 33511-4850
(813) 830-2020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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