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D R Vencil, LMT
Massage Therapist in Jacksonville, Florida
NPI 1487661005

D R Vencil is a Massage Therapist based in Jacksonville, FL. D R Vencil practices in Jacksonville, FL and has the professional credentials of LMT. The NPI Number for D R Vencil is 1487661005 and holds a License No. MA 31662 (Florida).

The current practice location address for D R Vencil is 1700 San Pablo Rd S, Jacksonville, FL and can be reached out via phone at 904-233-6526. You can also correspond with D R Vencil through the mailing address at 1700 SAN PABLO RD S, JACKSONVILLE, FL - 32224-2063 (mailing address contact number: 904-233-6526).

Location: 1700 San Pablo Rd S, Jacksonville, FL, 32224-2063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487661005
Provider Name
D R Vencil
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
1700 San Pablo Rd S, Jacksonville, FL, 32224-2063
Phone Number
904-233-6526
Fax Number
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA31662 01 FL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1700 San Pablo Rd S
City
Jacksonville
State
Florida
Zip
32224-2063
Phone Number
904-233-6526
Fax Number
person
Provider Business Mailing Address Details
Address
1700 San Pablo Rd S
City
Jacksonville
State
Florida
Zip
32224-2063
Phone Number
904-233-6526
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA 31662 (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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