Organization · NPI-2
Apollo Medical Massage, INC.
Legal Medicine · Melbourne, FL
NPI number1003826736
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1003826736
- Entity type
- Organization (NPI-2)
- Legal business name
- Apollo Medical Massage, INC.
- Organization subpart
- No
- Enumeration date
- Aug 8, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 173000000X | Legal Medicine | MM14612 | FL | Yes |
Practice location
551 S Apollo BlvdSuite 205
Melbourne, FL 32901-1274
Phone 321-259-8226 · Fax 321-951-8162
Mailing address
551 S Apollo BlvdSuite 205
Melbourne, FL 32901-1274
Phone 321-259-8226 · Fax 321-951-8162
Authorized official
Mary Catherine Berger
Office Manager
3216765600
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