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NPI Code Detail

MEDICARE: MISS VERONICA ALTAGRACIA BELL

MEDICARE:  MISS VERONICA ALTAGRACIA BELL
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
1225700000XMassage TherapistMA99263FL

General Provider Information

NPI Number : 1417773672
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS VERONICA ALTAGRACIA BELL
Provider Business Mailing Address
First Line : 4435 TOUCHTON RD E APT 1031
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-4467
Country : US
Telephone Number : 860-264-5482
Fax Number :
Provider Business Practice Location Address
First Line : 9889 GATE PKWY N STE 205
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-9229
Country : US
Telephone Number : 860-264-5482
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2024
Last Update Date : 12/04/2024

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Directions to “ MISS VERONICA ALTAGRACIA BELL ” Practice Location

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