Organization
RADIANCE HEALTH AND BEAUTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCIO I LORA FS/LMT (FULL SPECIALIST/LMT)
(407) 758-7874
Entity
Organization
Contact information
Practice address
1850 W FAIRBANKS AVE, WINTER PARK, FL 32789-4559
(407) 758-7874
Mailing address
936 S LAKE STERLING CT, CASSELBERRY, FL 32707-5400
(407) 758-7874
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FS878771
FL
225700000X
Massage Therapist
MA60398
FL
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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