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Individual

MR. MARK FIORINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
210 VILLAGE CENTER BLVD STE 100, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
Mailing address
210 VILLAGE CENTER BLVD STE 140, MYRTLE BEACH, SC 29579-6706
(843) 353-3460

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17373
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
604714-01
BC BS
MD
01
604714-02
BC BS
VA
Enumeration date
01/29/2007
Last updated
07/20/2022
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