MEDICARE: NATALIA DEL POZO 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
1	225700000X	Massage Therapist	MA65032	FL

General Provider Information

NPI Number	:	1508122409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIA DEL POZO LMT

Provider Business Mailing Address
First Line	:	7311 MONTEREY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-6583
Country	:	US
Telephone Number	:	813-770-3148
Fax Number	:

Provider Business Practice Location Address
First Line	:	6105 MEMORIAL HWY
Second Line	:	STE. E
City	:	TAMPA
State	:	FL
Zip	:	33615-4597
Country	:	US
Telephone Number	:	813-881-1525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2012
Last Update Date	:	04/04/2012

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