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Individual

MARK D IACOBUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P. T.

Contact information

Practice address
5487 STAG THICKET LN, PALM HARBOR, FL 34685-2525
(727) 417-6334
Mailing address
5487 STAG THICKET LN, PALM HARBOR, FL 34685-2525
(727) 417-6334

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT8572
FL

Other

Enumeration date
10/29/2014
Last updated
10/29/2014
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