Provider Demographics
NPI:1992006860
Name:OCEAN TOUCH MASSAGE, LLC
Entity Type:Organization
Organization Name:OCEAN TOUCH MASSAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BUONO-MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:954-647-3707
Mailing Address - Street 1:111 CUYAHOGA RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-3819
Mailing Address - Country:US
Mailing Address - Phone:954-647-3707
Mailing Address - Fax:
Practice Address - Street 1:111 CUYAHOGA RD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-3819
Practice Address - Country:US
Practice Address - Phone:954-647-3707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA60253225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty