| Brennan D Lundgren, | |
|
5736 Charleston St, Dania Beach, FL 33021-3302 | |
| (954) 512-8284 | |
| Not Available |
| Full Name | Brennan D Lundgren |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 5736 Charleston St, Dania Beach, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609540889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA85903 (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | MA85903 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brennan D Lundgren, 5736 Charleston St, Dania Beach, FL 33021 Ph: (954) 512-8284 | Brennan D Lundgren, 5736 Charleston St, Dania Beach, FL 33021-3302 Ph: (954) 512-8284 |
Abbay E Gourley, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 226 Nw 7th Ave, Dania Beach, FL 33004 Phone: 901-438-9091 | |
Ms. Debora A Mcdonough, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 246 S Federal Hwy, Dania Beach, FL 33004 Phone: 954-920-8224 |