Individual
MR. MARK EDMUND, STEPHEN BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
2960 N STATE ROAD 7, SUITE 204, MARGATE, FL 33063-5755
(954) 977-9077
(954) 979-0675
Mailing address
2960 N STATE ROAD 7, SUITE 204, MARGATE, FL 33063-5755
(954) 977-9077
(954) 979-0675
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
ND1879
FL
2251G0304X
Geriatric Physical Therapist
Primary
PT12863
FL
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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