Provider Demographics
NPI:1609190438
Name:POZO, JAMES (LMT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:POZO
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 SW 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-1417
Mailing Address - Country:US
Mailing Address - Phone:305-285-9892
Mailing Address - Fax:305-285-4146
Practice Address - Street 1:1820 SW 3RD AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-1417
Practice Address - Country:US
Practice Address - Phone:305-285-9892
Practice Address - Fax:305-285-4146
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 26097225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMA 26097OtherMEDICAL LICENSE