Individual
BRETT KARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6271 NW 171ST ST, HIALEAH, FL 33015-4622
(305) 409-4035
Mailing address
PO BOX 4451, HALLANDALE, FL 33008-4451
(305) 409-4035
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 74025
FL
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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