Organization
MARK MINSON PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK I MINSON PHD (OWNER)
(561) 999-9890
Entity
Organization
Contact information
Practice address
4710 NW 2ND AVE, SUITE 104, BOCA RATON, FL 33431-4879
(561) 999-9890
(561) 999-9454
Mailing address
4710 NW 2ND AVE, SUITE 104, BOCA RATON, FL 33431-4879
(561) 999-9890
(561) 999-9454
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PY3478
FL
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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