NPI 1134497555

Thomas Joseph Fasone, MASSAGETHERAPIST

Practitioner Specialist Ormond Beach, FL

Practice location

Address: 290 Clyde Morris Blvd Suite B-2, Ormond Beach, FL 32174-8130
Phone: (386) 258-7900
Fax: (386) 898-0459
Mailing address: PO Box 730354, Ormond Beach, FL 32173-0354

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA-14579 (FL)

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Registry record

NPI: 1134497555
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2011
Record last updated: 13 Dec 2011

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.