MEDICARE: REINALDO MICHEL GONZALEZ FRANCO MLT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1194590471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REINALDO MICHEL GONZALEZ FRANCO MLT

Provider Business Mailing Address
First Line	:	4209 ABERNATHY WAY
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34947-1348
Country	:	US
Telephone Number	:	786-357-6688
Fax Number	:

Provider Business Practice Location Address
First Line	:	4209 ABERNATHY WAY
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34947-1348
Country	:	US
Telephone Number	:	786-537-6688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2023
Last Update Date	:	11/16/2023

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Directions to “ REINALDO MICHEL GONZALEZ FRANCO MLT” Practice Location

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