Individual
MARK SELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
2620 S TAMIAMI TRL, SUITE 101, SARASOTA, FL 34239-4517
(941) 320-2122
Mailing address
5042 OXFORD DR, SARASOTA, FL 34242-1408
(941) 320-2122
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS 962
FL
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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