Provider Demographics
NPI:1346614609
Name:CANFEILD, CECILE (LMT)
Entity Type:Individual
Prefix:
First Name:CECILE
Middle Name:
Last Name:CANFEILD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:CECILE
Other - Middle Name:
Other - Last Name:GOLDENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17639 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-5423
Mailing Address - Country:US
Mailing Address - Phone:786-402-5753
Mailing Address - Fax:
Practice Address - Street 1:17639 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-5423
Practice Address - Country:US
Practice Address - Phone:786-402-5753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA0026805225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist