Individual
CARL DANIEL STEWART JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1751 SARNO RD, SUITE 3, MELBOURNE, FL 32935-4909
(321) 253-8088
Mailing address
265 RIVER ROAD CIR, ROCKLEDGE, FL 32955-5637
(321) 633-7475
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA44601
FL
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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