MEDICARE: FACES AND BEYOND INC

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	MM17747	FL

General Provider Information

NPI Number	:	1205025889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FACES AND BEYOND INC

Provider Business Mailing Address
First Line	:	2306 E ATLANTIC BLVD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-5212
Country	:	US
Telephone Number	:	954-783-2220
Fax Number	:	954-783-3379

Provider Business Practice Location Address
First Line	:	2306 E ATLANTIC BLVD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-5212
Country	:	US
Telephone Number	:	954-783-2220
Fax Number	:	954-783-3379

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. ANN SHAPIRO
Credential	:
Telephone Number	:	954-783-2220

Provider Enumeration Date	:	10/18/2007
Last Update Date	:	10/18/2007

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