Advantage Wellcare

NPI #1972509123 in Deltona, Florida

Provider Information

NPI Number: 1972509123
Entity Type: Organization
Organization Name: Advantage Wellcare
Primary Specialty: Massage Therapist
Enumeration Date: Jun 22, 2005
Last Updated: Jun 16, 2008

Practice Location

Address: 3244 TEALWOOD TER
City: Deltona
State: Florida
ZIP Code: 32725-3072
Phone: (386) 846-1419

Authorized Official

Name: ANDREA KINNEY, LMT
Title: OWNER
Phone: (386) 846-1419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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