Vandenberg, Mark
Vandenberg, Mark is an sole proprietor health care provider with primary practice located at 1601 Ne 11Th Ave , Ft Lauderdale FL 33305-3171. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Vandenberg, Mark can be contacted via phone (920) 850-5758.Contact Information
Primary practice address
1601 Ne 11Th Ave
Ft Lauderdale FL 33305-3171
Phone: (920) 850-5758
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PTA20097 | Florida |
Profile Details
| NPI number | 1689890949 |
|---|---|
| LBN Legal business name | Vandenberg, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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