Renu Indira Poduval, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA76047 Issued in FL

Practice address

7651 SW State Road 200
Suite 206
Ocala, FL 34476-7726

Phone

(352) 843-4278

NPI assigned

Sep 17, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1316270689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10458 SW 64TH CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344769361",
            "telephone_number": "352-843-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 SW STATE ROAD 200",
            "address_2": "SUITE 206",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344767726",
            "telephone_number": "352-843-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODUVAL",
        "first_name": "RENU",
        "middle_name": "INDIRA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA76047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planters Homecare
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• Brooke Ellen Pletcher, MD
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• John Andrew Podlaski, D.C., DACBN,DABCI
• Kristy Nicole Poe
• Poetter & Poetter, P.a.
• Eric Scott Poetter, DNP
• Rodney A Poetter, PH.D.
• Violet D Poetter, PSY.D.

• Massage Therapist in Ocala, FL
• Providers in Ocala, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.