Healthcare Provider Details
I. General information
NPI: 1528311099
Provider Name (Legal Business Name): FRANCESCA URBANO L.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/22/2012
Last Update Date: 10/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3318 CYPRESS POINT CIR
SAINT CLOUD FL
34772-8882
US
IV. Provider business mailing address
3318 CYPRESS POINT CIR
SAINT CLOUD FL
34772-8882
US
V. Phone/Fax
- Phone: 321-443-1458
- Fax:
- Phone: 321-443-1458
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | MA64304 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: