Healthcare Provider Details

I. General information

NPI: 1871415620
Provider Name (Legal Business Name): ROSEMARY LUCERO GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25973 US HIGHWAY 19 N STE 125
CLEARWATER FL
33763-2013
US

IV. Provider business mailing address

24862 US HIGHWAY 19 N APT 1801
CLEARWATER FL
33763-3912
US

V. Phone/Fax

Practice location:
  • Phone: 727-953-0325
  • Fax:
Mailing address:
  • Phone: 727-953-0325
  • Fax: 727-953-0325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA96671
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: