NPI 1003180951

Alfonso Macedonio, LMT

Practitioner Massage Therapist Pinellas Park, FL

Practice location

Address: 4423 Park Blvd N, Pinellas Park, FL 33781-3540
Phone: (727) 827-2825
Fax: (727) 827-2809
Mailing address: 411 21st Ave SW, Ruskin, FL 33570-5535

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA 59142 (FL)

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Registry record

NPI: 1003180951
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2012
Record last updated: 23 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.