Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT24170 | FL |
NPI | 1053576884 |
---|---|
Provider Name | Dr. Mark Anthony Forgione |
First Address | Delray Beach, FL 33444-1775 |
Second Address | Boynton Beach, FL 33436-7244 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2008 |
Last Update Date | 26/03/2021 |