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NPI Code Detail

MEDICARE: MRS. JOAN SABULA LMT

MEDICARE:  MRS. JOAN  SABULA  LMT
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 TherapistMA40952FL

General Provider Information

NPI Number : 1548425705
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOAN SABULA LMT
Provider Business Mailing Address
First Line : 2755 S BAY ST
Second Line : SUITE E
City : EUSTIS
State : FL
Zip : 32726-6587
Country : US
Telephone Number : 352-552-5430
Fax Number :
Provider Business Practice Location Address
First Line : 2755 S BAY ST
Second Line : SUITE E
City : EUSTIS
State : FL
Zip : 32726-6587
Country : US
Telephone Number : 352-552-5430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2008
Last Update Date : 07/26/2008

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Directions to “ MRS. JOAN SABULA LMT” Practice Location

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