Gary Homidas, LMT
Massage Therapist in Sunrise, FL. Individual provider (NPI-1).
NPI number1104795673
StatusActive
Last updated in NPPESNov 3, 2025
Details
- NPI
- 1104795673
- Entity type
- Individual (NPI-1)
- Name
- Gary Homidas
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2025
- Certification date
- Nov 3, 2025
- Last updated
- Nov 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA106367 | FL | Yes |
Practice location
4543 N Pine Island Rd Ste 2004Sunrise, FL 33351-5376
Phone 754-702-7852
Mailing address
4543 N Pine Island RdSuite 2004
Sunrise, FL 33351
Phone 754-702-7852
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