Pelaez, Luis Gullermo

Pelaez, Luis Gullermo is an sole proprietor health care provider with primary practice located at 8107 Canterbury Lake Blvd , Tampa FL 33619-6681. He recently has only one registered license in Other Service Providers / Reflexologist, which is considered as his primary health care specialty. Pelaez, Luis Gullermo can be contacted via phone (813) 374-9142.

Contact Information

Primary practice address
8107 Canterbury Lake Blvd Tampa FL 33619-6681
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Reflexologist 173C00000X MA62313 Florida

Profile Details

NPI number 1760772461
LBN Legal business name Pelaez, Luis Gullermo
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2011
Last updated Apr 14th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760772461 NPPES
Florida Other MA62313 LICENSED MASSAGE THERAPIST

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