Individual
DUTCH MARK VAN ALSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 2ND ST E, BRADENTON, FL 34208-1030
(941) 932-2440
Mailing address
725 LEFFINGWELL AVE, ELLENTON, FL 34222-2219
(941) 932-2440
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
FL
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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