Mr. James Anthony Trentacosta
Massage Therapist
96 Dolphin Blvd E
Ponte Vedra Beach
, Florida 32082-1713
Mr. James Anthony Trentacosta
Massage Therapist
96 Dolphin Blvd E
Ponte Vedra Beach
, Florida 32082-1713
(904) 543-1488
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mr. James Anthony Trentacosta
- 96 Dolphin Blvd E
- Ponte Vedra Beach, FL
- Zip : 32082-1713
- Fax : (904) 543-1488
- Phone : (904) 285-5566
Second Address
- Mr. James Anthony Trentacosta
- 96 Dolphin Blvd E
- Ponte Vedra Beach, FL
- Zip : 32082-1713
- Fax : (904) 543-1488
- Phone : (904) 285-5566
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Is Mr. James Anthony Trentacosta a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA13773 | FL |
National Provider Identifier
| NPI | 1023030970 |
|---|---|
| Provider Name | Mr. James Anthony Trentacosta |
| First Address | Ponte Vedra Beach, FL 32082-1713 |
| Second Address | Ponte Vedra Beach, FL 32082-1713 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C7842 | BLUE CROSS PROVIDER (01) | FL |
| MA13773 | LICENSE NUMBER (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.