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Individual
MARK BUBON
Active
Individual
MARK BUBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6805
FL
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6805
LICENSE #
FL
Enumeration date
08/24/2006
Last updated
08/01/2025
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