Individual provider · Type 1 NPI
Mark A. Bozzo, MASSAGE THERAPIST
Specialist · Port St. Lucie, FL
NPI number
1407060965
Active
Practice location
7791 South US Highway 1
Port St. Lucie, FL 34952
Mailing address
3630 SW Pisano St
Port St. Lucie, FL 34953-3600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA0022905 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1407060965
Mark A. Bozzo, MASSAGE THERAPIST's National Provider Identifier is 1407060965, issued on May 10, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jul 8, 2007.