Provider Demographics
NPI:1902122997
Name:ROSARIO, AFRANIO R (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:AFRANIO
Middle Name:R
Last Name:ROSARIO
Suffix:
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 N DALE MABRY HWY
Mailing Address - Street 2:APT. # 1107
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-2487
Mailing Address - Country:US
Mailing Address - Phone:813-310-7194
Mailing Address - Fax:
Practice Address - Street 1:4809 N ARMENIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-1447
Practice Address - Country:US
Practice Address - Phone:813-443-2108
Practice Address - Fax:813-443-2109
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL49324225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist