Individual
MR. MARK EDMUND, STEPHEN BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
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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