Healthcare Provider Details

I. General information

NPI: 1487857678
Provider Name (Legal Business Name): THOMAS F OAKLEY L.M.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: THOMAS F OAKLEY L.M.T.

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 09/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5511 BUCHANAN ST
HOLLYWOOD FL
33021-5709
US

IV. Provider business mailing address

PO BOX 813505
HOLLYWOOD FL
33081-3505
US

V. Phone/Fax

Practice location:
  • Phone: 305-389-6325
  • Fax:
Mailing address:
  • Phone: 954-987-9609
  • Fax: 954-963-7169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA0012067
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: