MEDICARE: RAMON E GUADALUPE

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	MA 56280	FL

General Provider Information

NPI Number	:	1437385267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMON E GUADALUPE

Provider Business Mailing Address
First Line	:	2232 ROAD OAK SPRING DR
Second Line	:
City	:	RUSKIN
State	:	FL
Zip	:	33570
Country	:	US
Telephone Number	:	813-884-8877
Fax Number	:

Provider Business Practice Location Address
First Line	:	2232 ROAD OAK SPRING DR
Second Line	:
City	:	RUSKIN
State	:	FL
Zip	:	33570
Country	:	US
Telephone Number	:	813-884-8877
Fax Number	:

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

Provider Enumeration Date	:	06/08/2009
Last Update Date	:	06/08/2009

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Directions to “ RAMON E GUADALUPE ” Practice Location

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