Mark A Bozzo is a Specialist in Port Saint Lucie, Florida. Mark A Bozzo practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark A Bozzo is 1407060965. The last update date is 2007-07-08.
Mark A Bozzo's current location address is 3630 Sw Pisano St, Port Saint Lucie, Florida. You can contact this provider via phone number 7723422805. The mailing address for Mark A Bozzo is 3630 Sw Pisano St, Port Saint Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark A Bozzo |
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Address | 3630 Sw Pisano St, Port Saint Lucie, Florida |
Phone Number | 7723422805 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MASSAGE TH |
NPI Number Detail
NPI Number | 1407060965 |
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Provider Enumeration Date | 2007-05-10 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3630 Sw Pisano St |
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City | Port Saint Lucie |
State | Florida (FL) |
Post Code | 349533600 |
Phone Number | 7723422805 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | MA0022905 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identifier code issued to Mark A Bozzo by the Centers for Medicare & Medicaid Services (CMS)?
The Mark A Bozzo has been assigned the NPI (National Provider Identifier) 1407060965. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Mark A Bozzo located?
The Mark A Bozzo is located at 3630 Sw Pisano St, Port Saint Lucie, FL 349533600.
What is Mark A Bozzo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark A Bozzo is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date was the 1407060965 assigned to Mark A Bozzo?
The Mark A Bozzo was issued its 1407060965 on 2007-05-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mark A Bozzo last refreshed?
The information related to the Mark A Bozzo, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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