Provider Demographics
NPI:1962713263
Name:CARLOZZI, ANGELICA (LMT, MMP, NCTMB)
Entity type:Individual
Prefix:
First Name:ANGELICA
Middle Name:
Last Name:CARLOZZI
Suffix:
Gender:F
Credentials:LMT, MMP, NCTMB
Other - Prefix:
Other - First Name:ANGIE
Other - Middle Name:
Other - Last Name:CARLOZZI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT, NCTMB, MMP
Mailing Address - Street 1:13426 SW 63RD TER
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-6886
Mailing Address - Country:US
Mailing Address - Phone:352-653-8538
Mailing Address - Fax:
Practice Address - Street 1:2300 SE 17TH ST STE 101
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-9112
Practice Address - Country:US
Practice Address - Phone:352-653-8538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2017-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA58340225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist