Provider Demographics
NPI:1720386717
Name:GARCIA-GAMEZ, ALEXIS (LMT)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:GARCIA-GAMEZ
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 1:2020 N 62ND ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-3134
Mailing Address - Country:US
Mailing Address - Phone:813-520-0037
Mailing Address - Fax:
Practice Address - Street 1:2020 N 62ND ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-3134
Practice Address - Country:US
Practice Address - Phone:813-520-0037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA61526225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist