Individual
GUSTAVO SEBASTIAN BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2776 CLIPPER WAY, NAPLES, FL 34104-3392
(239) 272-6720
Mailing address
2776 CLIPPER WAY, NAPLES, FL 34104-3392
(239) 272-6720
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA72996
FL
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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