Individual provider · Type 1 NPI

Mark Gibson, CPO

Prosthetist · Tallahassee, FL

NPI number 1619391802 Active

Practice location

3334 Capital Medical Blvd #400
Tallahassee, FL 32308-4470

Fax (850) 877-5636

Specialties and licenses

TaxonomyCodeLicense
Prosthetist Primary 224P00000XPOR276 (FL)
Orthotist 222Z00000XPOR276 (FL)

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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About NPI 1619391802

Mark Gibson, CPO's National Provider Identifier is 1619391802, issued on Feb 10, 2014. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Tallahassee, FL. The record was last updated on Nov 13, 2014.