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NPI Code Detail

MEDICARE: RONALD C. OAKES LMT

MEDICARE:   RONALD C. OAKES  LMT
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
1225700000XMassage Therapist15695FL

General Provider Information

NPI Number : 1255515763
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD C. OAKES LMT
Provider Business Mailing Address
First Line : 5510 S.W. 54TH STREET
Second Line :
City : DAVIE
State : FL
Zip : 33314
Country : US
Telephone Number : 954-587-3428
Fax Number :
Provider Business Practice Location Address
First Line : 4651 SHERIDAN ST
Second Line : SUITE 320
City : HOLLYWOOD
State : FL
Zip : 33021-3457
Country : US
Telephone Number : 954-549-3446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2007
Last Update Date : 12/19/2007

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Directions to “ RONALD C. OAKES LMT” Practice Location

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