JUAN CARLOS FLEITAS MA 67136 NPI 1295365526

NPI Information

NPI: 1295365526
Provider Name: JUAN CARLOS FLEITAS, MA 67136
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1900 MAIN ST STE 108
SARASOTA, FL
ZIP 34236
Phone: (941) 592-4393
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Juan Carlos Fleitas, MA 67136 is a massage therapist in Sarasota, FL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Juan Carlos Fleitas, MA 67136 NPI is 1295365526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 MAIN ST STE 108
SARASOTA, FL
ZIP 34236-950
Phone: (941) 592-4393

The enumeration date for this NPI number is 1/26/2020 and was last updated on 1/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA67136	FLORIDA	Yes
2	225700000X	Massage Therapist				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MA67136	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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