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Mr. Roger Charles Medrano, LMT
Massage Therapist in Tampa, Florida
NPI 1356489306

Roger Charles Medrano is a Massage Therapist based in Tampa, FL. Roger Charles Medrano practices in Tampa, FL and has the professional credentials of LMT. The NPI Number for Roger Charles Medrano is 1356489306 and holds a License No. MA33167 (Florida).

The current practice location address for Roger Charles Medrano is 1111 N West Shore Blvd, Tampa, FL and can be reached out via phone at 813-286-2125 and via fax at 813-514-4103. You can also correspond with Roger Charles Medrano through the mailing address at 1111 N WEST SHORE BLVD, TAMPA, FL - 33607-4703 (mailing address contact number: 813-286-2125).

Location: 1111 N West Shore Blvd, Tampa, FL, 33607-4703
person
Provider Profile Details
NPI Number
1356489306
Provider Name
Roger Charles Medrano
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
1111 N West Shore Blvd, Tampa, FL, 33607-4703
Phone Number
813-286-2125
Fax Number
813-514-4103
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
681954100 05 FL
institution
Provider Business Practice Location Address Details
Address
1111 N West Shore Blvd
City
State
Zip
33607-4703
Phone Number
813-286-2125
Fax Number
813-514-4103
person
Provider Business Mailing Address Details
Address
1111 N West Shore Blvd
City
State
Zip
33607-4703
Phone Number
813-286-2125
Fax Number
813-514-4103
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA33167 (Florida)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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