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Organization
MARK T MACHUGA P A
Active
Organization
MARK T MACHUGA P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T MACHUGA D.C. (PRESIDENT)
(407) 877-9771
Entity
Organization
Contact information
Practice address
1554 BOREN DR STE 300, OCOEE, FL 34761-2986
(407) 877-9771
(407) 877-8505
Mailing address
1554 BOREN DR STE 300, OCOEE, FL 34761-2986
(407) 877-9771
(407) 877-8505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0004967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050497100
—
FL
Enumeration date
06/13/2009
Last updated
10/05/2009
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