Mark A Bozzo in Port Saint Lucie - Specialist

Mark A Bozzo - NPI 1407060965

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
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
Provider Enumeration Date 2007-05-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3630 Sw Pisano St
City Port Saint Lucie
State Florida (FL)
Post Code 349533600
Phone Number 7723422805
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
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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FAQs about Mark A Bozzo

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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