Provider Demographics
NPI:1154543817
Name:RICH LUMAZZA THERAPY, INC.
Entity type:Organization
Organization Name:RICH LUMAZZA THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:LUMAZZA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:727-692-8417
Mailing Address - Street 1:2293 EDYTHE DR
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-2568
Mailing Address - Country:US
Mailing Address - Phone:727-738-0344
Mailing Address - Fax:
Practice Address - Street 1:2467 ENTERPRISE RD STE E
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-1724
Practice Address - Country:US
Practice Address - Phone:727-692-8417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA15640225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty