Individual
MARK KUBILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7777 N WICKHAM RD, STE 21, MELBOURNE, FL 32940-7976
(321) 752-4552
(321) 751-2993
Mailing address
7777 N WICKHAM RD, STE 21, MELBOURNE, FL 32940-7976
(321) 752-4552
(321) 751-2993
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS3781
FL
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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