Individual
MARK A PAULINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7925 MERRILL RD APT 1316, JACKSONVILLE, FL 32277-6514
(917) 935-2595
Mailing address
7925 MERRILL RD APT 1316, JACKSONVILLE, FL 32277-6514
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24693
FL
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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