Individual
MR. JOHN DOLENCE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
6510 KINGSWOOD DR N, ST PETERSBURG, FL 33702-7432
(727) 420-0798
Mailing address
6510 KINGSWOOD DR N, ST PETERSBURG, FL 33702-7432
(727) 420-0798
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA0026788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA0026788
LICENSE
FL
Enumeration date
08/17/2007
Last updated
08/17/2007
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