Individual
DR. MARK EDWARD DEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AAS, BS, MSOM, AP
Contact information
Practice address
8280 PRINCETON SQUARE BLVD W STE 1, JACKSONVILLE, FL 32256-0362
(904) 742-2967
Mailing address
3517 DOCKSIDER DR N, JACKSONVILLE, FL 32257-6329
(904) 742-2967
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1427
FL
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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