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NPI Profile for Dr MARK S MATHUSA JR in PALM BAY, FL.
A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Veterinarian |
174M00000X |
| NPI Number | 1598988305 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/10/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARK S MATHUSA JR
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MARK S MATHUSA JR