MEDICARE: GRETA BELASCO MURRAY

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	MA50217	FL

General Provider Information

NPI Number	:	1750664686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRETA BELASCO MURRAY

Provider Business Mailing Address
First Line	:	5625 CEDAR PINE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7116
Country	:	US
Telephone Number	:	407-312-0304
Fax Number	:

Provider Business Practice Location Address
First Line	:	5625 CEDAR PINE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7116
Country	:	US
Telephone Number	:	407-312-0304
Fax Number	:

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

Provider Enumeration Date	:	09/27/2011
Last Update Date	:	09/27/2011

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Directions to “ GRETA BELASCO MURRAY ” Practice Location

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