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Individual
DR. MARK PAUL DIROMA
Active
Individual
DR. MARK PAUL DIROMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006236
FL
111N00000X
Chiropractor
X006058
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22718
BLUE CROSS/BLUE SHIELD
FL
05
—
380812200
—
FL
Enumeration date
03/30/2006
Last updated
06/29/2012
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