Provider Demographics
NPI:1073944377
Name:CAVUOTI DENNIS, HELENE (LMT)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:
Last Name:CAVUOTI DENNIS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11498 NE 40TH STREET RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34488-2403
Mailing Address - Country:US
Mailing Address - Phone:352-299-6863
Mailing Address - Fax:
Practice Address - Street 1:2730 SW 3RD PL STE 104
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-8878
Practice Address - Country:US
Practice Address - Phone:352-299-6863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA55221225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist