Individual
MARK DOSKOCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
204 US 27 S, LAKE PLACID, FL 33852-7900
(863) 465-9500
Mailing address
1436 KERRY DR, SEBRING, FL 33875-5311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 14054
FL
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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