Most Relevant Information
Provider Data
| NPI Number: | 1003180951 |
| Provider Name: | ALFONSO MACEDONIO LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA 59142 |
Most Important Dates
| Enumeration Date: | 02/23/2012 |
| Last Updated: | 02/23/2012 |
Provider Practice Location
4423 PARK BLVD N
PINELLAS PARK
FL
337813540
Practice Location Phone/Fax
| Phone: | 7278272825 |
| Fax: | 7278272809 |
Provider Mailing Location
411 21ST AVE SW
RUSKIN
FL
335705535
Provider Mailing Phone/Fax
| Phone: | 8133593657 |
| Fax: |