Individual
MARK DAVID VAN BALVEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T
Contact information
Practice address
7305 N. MILITARY TRAIL, PHYSICAL MEDICINE (117), WEST PALM BEACH, FL 33410
(561) 422-5732
(561) 422-8289
Mailing address
7305 N. MILITARY TRAIL, PHYSICAL MEDICINE (117), WEST PALM BEACH, FL 33410
(561) 422-5732
(561) 422-8289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT22429
FL
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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