Individual
MR. DOUGLAS STUART DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
807 NW 57TH ST, GAINESVILLE, FL 32605-6417
(352) 335-7651
Mailing address
29003 NW 182ND TER, ALACHUA, FL 32615-3103
(386) 462-5125
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0006007
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C6447
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/15/2007
Last updated
09/02/2015
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