Male or Other

Alfonso Macedonio LMT

Massage Therapist in Pinellas Park, FL(View on Map)

Full Name

Alfonso Macedonio LMT

NPI Number

1003180951

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/23/2012

Specialties

(Taxonomies)

Code

225700000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

MA 59142

Contact
Information

Purpose

Mailing
Location

Address

411 21ST AVE SW
4423 PARK BLVD N

City

Ruskin
Pinellas Park

State

FL
FL

Postal Code

33570-5535
33781-3540

Country

US
US

Telephone Number

(813) 359-3657
(727) 827-2825

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/23/2012

Provider Address

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