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NPI Code Detail

MEDICARE: RONALD SAGARRA MASSAGE THERAPY

MEDICARE:   RONALD  SAGARRA  MASSAGE THERAPY
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 TherapistMA43912FL

General Provider Information

NPI Number : 1336361393
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD SAGARRA MASSAGE THERAPY
Provider Business Mailing Address
First Line : 2730 COLLINS AVE
Second Line : APT 301
City : MIAMI BEACH
State : FL
Zip : 33140
Country : US
Telephone Number : 305-803-9491
Fax Number :
Provider Business Practice Location Address
First Line : 2730 COLLINS AVE
Second Line : APT 301
City : MIAMI BEACH
State : FL
Zip : 33140
Country : US
Telephone Number : 305-803-9491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 07/08/2007

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Directions to “ RONALD SAGARRA MASSAGE THERAPY” Practice Location

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