Todisco, Carol Berry

Todisco, Carol Berry is an sole proprietor health care provider with primary practice located at 3084 Lake Washington Rd , Melbourne FL 32934-7613. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Todisco, Carol Berry can be contacted via phone (321) 259-5056.

Contact Information

Primary practice address
3084 Lake Washington Rd Melbourne FL 32934-7613
Phone: (321) 259-5056
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 42074 Florida

Profile Details

NPI number 1376742791
LBN Legal business name Todisco, Carol Berry
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2007
Last updated Jul 16th, 2007 - about 18 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 1376742791 NPPES
Florida Other 42074 STATE OF FLORIDA DEPT OF

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