Marissa Prado Maldonado
Individual provider Active NPI Massage Therapist · Juno Beach, FL
NPI 1124251822 · NPPES record last updated Aug 27, 2009
Key facts
- NPI
- 1124251822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA31003 (FL)
- Practice address
- 570 Ocean Dr.
#501
Juno Beach, FL 33408 - Phone
- (954) 491-2225
- Fax
- (954) 491-6862
- NPI assigned
- Aug 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA31003 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Massage & Wellness Clinics | Massage Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA31003 | FL | Yes |
Addresses
Primary practice location
570 Ocean Dr.
#501
Juno Beach, FL 33408
Mailing address
3073 NW 92 Ave
Coral Springs, FL 33065-1422
Phone (954) 821-6993
Other providers in Juno Beach, FL
- Lifespace Communities Inc
- Anabel Lopez
- Larry Keith Mabry
- Tanya Tricia Magney
- Dawne L Majtenyi
- Roel Crisostomo Mangaoang
- Allison J Manis
- Cara E Marcello
- Mark a Kuhl DMD PA
- Andreina Martinez
All providers in Juno Beach, FL · Massage Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.