Individual
MARK MASTERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH. D
Contact information
Practice address
1905 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216-1940
(904) 720-0599
(904) 720-5225
Mailing address
1905 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216-1940
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0004759
FL
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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