Individual
JORGE ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7025 W HILLSBOROUGH AVE, TAMPA, FL 33634-4947
(813) 882-0497
(813) 884-1614
Mailing address
9512 BARNSIDE PL, TAMPA, FL 33635-1101
(813) 917-6463
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA57746
FL
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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