Organization
ADVANTAGE WELLCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA KINNEY LMT (OWNER)
(386) 846-1419
Entity
Organization
Contact information
Practice address
3244 TEALWOOD TER, DELTONA, FL 32725-3072
(386) 846-1419
Mailing address
3244 TEALWOOD TER, DELTONA, FL 32725-3072
(386) 846-1419
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA42601
FL
Other
Enumeration date
06/22/2005
Last updated
06/16/2008
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