Individual
MARK D TIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2363 SE BREKENRIDGE CIR, PORT ST LUCIE, FL 34952-8139
(772) 212-6701
Mailing address
2363 SE BREKENRIDGE CIR, PORT ST LUCIE, FL 34952-8139
(772) 212-6701
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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