Provider Demographics
NPI:1609429992
Name:MUCHULI, FRANCISCO JESUS (MASSAGE THERAPY)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:JESUS
Last Name:MUCHULI
Suffix:
Gender:M
Credentials:MASSAGE THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3619 NE 207TH ST APT 2201
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3806
Mailing Address - Country:US
Mailing Address - Phone:754-260-4906
Mailing Address - Fax:
Practice Address - Street 1:20880 W DIXIE HWY STE 101
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1151
Practice Address - Country:US
Practice Address - Phone:305-682-1441
Practice Address - Fax:305-682-1855
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL86781225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist