Individual
MR. MARK F FLORENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S CCC-SLP
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-5000
Mailing address
4502 E JAEGER RD, PHOENIX, AZ 85050-6836
(480) 473-1028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0640
AZ
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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