Individual
MARK A BOZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
7791 SOUTH US HIGHWAY 1, PORT SAINT LUCIE, FL 34952
(772) 342-2805
Mailing address
3630 SW PISANO ST, PORT SAINT LUCIE, FL 34953-3600
(772) 342-2805
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA0022905
FL
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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