JULISSA E MANZZO (NPI# 1316187396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316187396 |
| Entity Type | Individual |
| Full Name | JULISSA E MANZZO |
| Credential | LMT |
| Practice Address |
2648 W State Road 434 Suite C Longwood FL 32779-4440 |
| Practice Telephone | 4077887778 |
| Practice Fax Number | 4077887770 |
| Mailing Telephone | 4077887778 |
| Mailing Fax Number | 4077887770 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA42742 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2648 W STATE ROAD 434 SUITE C |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32779-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851576052 | Donny Moon | Massage Therapist | 2648 W State Road 434, Suite C, Longwood, FL 32779-4440 | 2008-01-07 |
| 1477783439 | Holly Morgan | Massage Therapist | 2648 W State Road 434, Suite C, Longwood, FL 32779-4440 | 2009-07-23 |
| 1407032923 | Maloida Breboneria | Massage Therapist | 2648 W State Road 434, Suite C, Longwood, FL 32779-4440 | 2008-01-15 |
| 1164608956 | Charles B Galloway | General Practice | 2648 W State Road 434, Suite C, Longwood, FL 32779-4440 | 2008-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268854 | Erin Nicole Marsh | Speech-Language Pathologist | 2957 W State Rd. 434 Suite 100, Longwood, FL 32779 | 2020-02-23 |
| 1902443294 | Melanie Lynn Milner | Chiropractor | 2160 West S.r. 434, Unit 108, Longwood, FL 32779 | 2019-12-05 |
| 1538723440 | Darby Anne Santora | Speech-Language Pathologist | 2957 W 434 State Road, #100, Longwood, FL 32779 | 2019-04-25 |
| 1508336645 | Lashawnda L Richmond | Counselor | 207 Briar Cliff Dr, Longwood, FL 32779 | 2018-12-02 |
| 1992275598 | The Center of Life Counseling, LLC | Clinic/Center | 300 N. Ronald Reagan Blvd. #302, Longwood, FL 32779 | 2018-11-27 |
| 1770052508 | Megan Elizabeth Runyan | Speech-Language Pathologist | 1511 Suzanne Way, Longwood, FL 32779 | 2018-11-22 |
| 1003398447 | Neha Patel | Physical Therapist | 500 Village Place, Longwood, FL 32779 | 2018-09-01 |
| 1487146122 | Wai Acupuncture & Integrative Chinese Medicine LLC | Acupuncturist | 2901 West S.r. 434, Suite 141, Longwood, FL 32779 | 2018-05-30 |
| 1396130217 | Alison Marie Nasuti | Occupational Therapy Assistant | 2989 Wsr 434, Suite 200, Longwood, FL 32779 | 2015-03-30 |
| 1346646288 | Abby Louise Hertel | Speech-Language Pathologist | 2917 W State Road 434, Longwood, FL 32779 | 2014-11-04 |
| Find all providers in zip 32779 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1730520305 | Taylor Shea Keyser | Massage Therapist | 2137 West State Road 434, Marc Irwin Sharfman Md Pa / Dba: Headache and Neurologi, Longwood, FL 32779 | 2013-07-11 |
| 1659627842 | Megan Desiree Argroves | Massage Therapist | 293 E Marvin Ave, Longwood, FL 32750-5417 | 2012-07-25 |
| 1437426558 | Jason Floyd Sutherland | Massage Therapist | 2009 Longwood Lake Mary Rd, Suite 1001, Longwood, FL 32750-3512 | 2011-11-17 |
| 1326287749 | Yesenia Gorzon | Massage Therapist | 477 Homer Ave, Longwood, FL 32750-6722 | 2009-02-09 |
| 1518117225 | Johnson Blaise | Massage Therapist | 2648 W Sr 434, Suite C, Longwood, FL 32779-4440 | 2008-09-30 |
| 1639337694 | Maryanne Palumbo | Massage Therapist | 1855 W St Rd 434, Ste 253, Longwood, FL 32750 | 2008-05-27 |
| 1831362334 | Betsy R Batwin | Massage Therapist | 478 Wekiva Cove Rd, Longwood, FL 32779-5665 | 2008-04-07 |
| 1851576052 | Donny Moon | Massage Therapist | 2648 W State Road 434, Suite C, Longwood, FL 32779-4440 | 2008-01-07 |
| 1316138357 | Darby Wyatt | Massage Therapist | 1771 W State Road 434, Longwood, FL 32750-5067 | 2007-08-06 |
| Find all providers in LONGWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.