Doctor Name: | MR. MICHAEL LEON GARCIA |
NPI Number: | 1639193436 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.N., L.M.T. |
License Number: | MA21545 |
Business Practice Address: | 4642 San Juan Ave Jacksonville, FL - 322103228 |
Business Phone Number: | 9043899117 |
Business Fax Number: | |
Mailing Address: | 7023 Shady Pine St W, JACKSONVILLE |
State: | FL |
Postal Code: | 322444537 |
Phone Number: | 9047782433 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA21545 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |