Individual
AMARILY FRAGA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5051 MEMORIAL HWY UNIT B, TAMPA, FL 33634-7355
(813) 290-0779
Mailing address
2305 CARROLL GROVE DR, TAMPA, FL 33612-6522
(813) 506-1701
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT24324167
FL
225700000X
Massage Therapist
MA95922
FL
Other
Enumeration date
10/06/2021
Last updated
03/09/2026
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