Search › Florida › 174M00000X
Mark Mathusa
NPI 1598988305 · on the registry since 2007 · sole proprietor
Practice
- Address
- 785 Jupiter Blvd Nw
Palm Bay, FL 32907 - Phone
- (321) 952-4315
- Fax
- (321) 952-2222
Registry record
- Primary taxonomy
- 174M00000X
174M00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida