Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Bo Gong

Individual provider Massage Therapist · NPI 1407115835

Mr. Bo Gong is a Massage Therapist in Melbourne, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

6559 N Wickham Rd # C-103
Melbourne, FL 32940-2052
Phone: (407) 861-6966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2579 Oak St, Kissimmee, FL 34744-4946 — (407) 288-4865

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA68483 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MA68483 (FL)

Record details

NPI number1407115835
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 4, 2012
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025
Mailing address2579 Oak St, Kissimmee, FL 34744-4946

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