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Individual

MARK K. POFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
8900 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5884
(352) 674-5000
Mailing address
8900 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5884
(352) 674-5000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS10580
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
592420282
TAX ID
FL
Enumeration date
04/26/2006
Last updated
07/27/2012
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