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Organization
MASTER HOLISTIC FORMULATIONS
Active
Organization
MASTER HOLISTIC FORMULATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GERHARDT (CHEIF EXECUTIVE OFFICER)
(866) 211-5538
Entity
Organization
Contact information
Practice address
14000 S MILITARY TRL STE 104, DELRAY BEACH, FL 33484-2600
(866) 211-5538
Mailing address
601 N CONGRESS AVE STE 415, DELRAY BEACH, FL 33445-4640
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
173C00000X
Reflexologist
—
—
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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