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Mr. Edgar Hernan Perilla, LMT
Massage Therapist in Hollywood, Florida
NPI 1578877106

Edgar Hernan Perilla is a Massage Therapist based in Ft Lauderdale, FL. Edgar Hernan Perilla practices in Hollywood, FL and has the professional credentials of LMT. The NPI Number for Edgar Hernan Perilla is 1578877106 and holds a License No. MA44539 (Florida).

The current practice location address for Edgar Hernan Perilla is 5081 Sheridan St, Hollywood, FL and can be reached out via phone at 954-966-1771.

Location: 5081 Sheridan St, Hollywood, FL, 33314-5751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578877106
Provider Name
Edgar Hernan Perilla
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
5081 Sheridan St, Hollywood, FL, 33314-5751
Phone Number
954-966-1771
Fax Number
Provider Enumeration Date
08/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5081 Sheridan St
City
Hollywood
State
Florida
Zip
33021-2831
Phone Number
954-966-1771
Fax Number
person
Provider Business Mailing Address Details
Address
5081 Sheridan St
City
Hollywood
State
Florida
Zip
33021-2831
Phone Number
954-966-1771
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA44539 (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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