Individual
MARK A GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6440 SW 73RD ST, OCALA, FL 34476-5568
(352) 237-5455
(352) 237-5455
Mailing address
PO BOX 770666, OCALA, FL 34477-0666
(352) 237-5455
(352) 237-5455
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA31236
FL
Other
Enumeration date
07/12/2008
Last updated
07/14/2008
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