Individual
MARK ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.M.
Contact information
Practice address
11025 POND PINE DR, RIVERVIEW, FL 33569-2235
(813) 732-2108
Mailing address
11025 POND PINE DR, RIVERVIEW, FL 33569-2235
(813) 732-2108
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 2707
FL
Other
Enumeration date
06/24/2009
Last updated
05/19/2011
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