Niles, Mark
Niles, Mark is an sole proprietor health care provider with primary practice located at 2180 Sw 115Th Ter , Davie FL 33325-4854. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Niles, Mark can be contacted via phone (954) 816-1029.Contact Information
Primary practice address
2180 Sw 115Th Ter
Davie FL 33325-4854
Phone: (954) 816-1029
Fax: (954) 577-3444
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4421 | Florida |
Profile Details
NPI number | 1093707713 |
---|---|
LBN Legal business name | Niles, Mark |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 18th, 2005 |
Last updated | Feb 5th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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