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Contact Information

JUAN CHANELO RODRIGUEZ, LMT
6619 1ST AVE S
SAINT PETERSBURG, FL33707-1305
 Phone: 727-623-9996
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Recreation Therapist

225800000X
Indicates primary specialty

NPI Profile & details for JUAN CHANELO RODRIGUEZ · (Male)

NPI # 1093300824
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 03/03/2021
Last updated 03/03/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # MA75384
  • FL Other MA75384 LMT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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