Individual
MR. MARK ALAN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
916 NE 17TH CT, FORT LAUDERDALE, FL 33305-3127
(954) 463-6791
(954) 463-0830
Mailing address
916 NE 17TH CT, FORT LAUDERDALE, FL 33305-3127
(954) 463-6791
(954) 463-0830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA16739
FL
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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