Active NPI
Jean Patrick Florestal, L M T
- Massage Therapist
- Oviedo, FL
National Provider Identifier
1689790057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA27106
- Practice address
- 1000 Executive Dr
Oviedo, FL 32765-8140 - Phone
- (407) 971-6830
- NPI assigned
- Mar 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA27106 | FL | Primary |
Addresses
Primary practice location
1000 Executive Dr
Oviedo, FL 32765-8140
Mailing address
5855 Marble CT
Winter Park, FL 32792-9398
Phone (407) 696-6962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA27106 | Other | FL | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA27106 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689790057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 MARBLE CT",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327929398",
"telephone_number": "407-696-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EXECUTIVE DR",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327658140",
"telephone_number": "407-971-6830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORESTAL",
"first_name": "JEAN PATRICK",
"name_prefix": "Mr.",
"credential": "L M T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA27106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "MA27106",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oviedo, FL
- FL-I Medical Services LLC
- Flatwoods Inpatient Services LLC
- Marilyn Gonzalez Fleming, CNM, APRN
- Maria R Flores, M.D.
- Ronald Flores, RBT
- Florida Cancer Specialists & Research Institute, LLC
- Florida DBT Group, Inc.
- Florida Em-I Medical Services PA
- Florida ENT Associates, Inc. (South Florida ENT Associates, Inc.)
- Florida Hospital Medical Group Inc (Rothman Orthopaedics Adventhealth Medical Group at Oviedo)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.