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NPI Code Detail

MEDICARE: MISS AUDRA NICOLE STEDING LMT

MEDICARE: MISS AUDRA NICOLE STEDING 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 TherapistMA36072FL

General Provider Information

NPI Number : 1679885354
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS AUDRA NICOLE STEDING LMT
Provider Business Mailing Address
First Line : 5324 CYPRESS CREEK DR
Second Line :
City : ORLANDO
State : FL
Zip : 32811-7606
Country : US
Telephone Number : 407-435-3152
Fax Number :
Provider Business Practice Location Address
First Line : 7535 W SAND LAKE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32819-5109
Country : US
Telephone Number : 407-435-3152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2010
Last Update Date : 07/09/2010

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Directions to “ MISS AUDRA NICOLE STEDING LMT” Practice Location

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