Individual
MR. MARC EDWARD MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10141 PANAMA CT, SEMINOLE, FL 33776-1305
(727) 593-1403
Mailing address
10141 PANAMA CT, SEMINOLE, FL 33776-1305
(727) 593-1403
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11771
FL
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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