MEDICARE: MS. SHARON MARIE CEDRONE MARTIN BA, LMT, CNMT

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	MA 40102	FL

General Provider Information

NPI Number	:	1699920132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON MARIE CEDRONE MARTIN BA, LMT, CNMT

Provider Business Mailing Address
First Line	:	PO BOX 14231
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-0231
Country	:	US
Telephone Number	:	561-371-0047
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 SANDAL LN
Second Line	:	SUITE 3
City	:	PALM BEACH SHORES
State	:	FL
Zip	:	33404-5760
Country	:	US
Telephone Number	:	561-371-0047
Fax Number	:

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

Provider Enumeration Date	:	11/25/2008
Last Update Date	:	11/25/2008

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