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Individual

MR. MARK T SELLECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPO,CPO

Contact information

Practice address
4147 SUN N LAKE BLVD, SEBRING, FL 33872-2131
(863) 658-1291
(863) 884-1593
Mailing address
4147 SUN N LAKE BLVD, SEBRING, FL 33872-2131
(305) 672-9393
(305) 675-3706

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
POR175
FL

Other

Enumeration date
07/15/2006
Last updated
05/01/2026
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