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NPI Code Detail

MEDICARE: EPIC BODYWORK & MASSAGE

MEDICARE: EPIC BODYWORK & MASSAGE
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 TherapistMA 43211FL

General Provider Information

NPI Number : 1538606322
Entity Type Code : Organization
Provider Name (Legal Business Name) : EPIC BODYWORK & MASSAGE
Provider Business Mailing Address
First Line : 4002 W STATE ST
Second Line : 200
City : TAMPA
State : FL
Zip : 33609-1223
Country : US
Telephone Number : 813-898-0601
Fax Number :
Provider Business Practice Location Address
First Line : 4002 W STATE ST
Second Line : 200
City : TAMPA
State : FL
Zip : 33609-1223
Country : US
Telephone Number : 813-898-0601
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. NELSON CACCATORIE
Credential : L.M.T
Telephone Number : 813-898-0601
Provider Enumeration Date : 01/31/2017
Last Update Date : 04/27/2017

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Directions to “EPIC BODYWORK & MASSAGE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.