Individual
MR. MARIO MICHAEL INDIVIGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AP
Contact information
Practice address
245 NOTTINGHAM BLVD, #2, WEST PALM BEACH, FL 33405-2770
(561) 703-5930
Mailing address
245 NOTTINGHAM BLVD, #2, WEST PALM BEACH, FL 33405-2770
(561) 703-5930
(561) 655-9542
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
882
FL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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