Individual
MARK VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10379 ROYAL PALM BLVD, CORAL SPRINGS, FL 33065-4817
(724) 272-4811
Mailing address
10379 ROYAL PALM BLVD, CORAL SPRINGS, FL 33065-4817
(724) 272-4811
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
474565063
FL
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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