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Mark Gibson, CPO
Orthotist in Tallahassee, Florida
NPI 1619391802

Mark Gibson is a Orthotist based in Tallahassee, FL. Mark Gibson practices in Tallahassee, FL and has the professional credentials of CPO. The NPI Number for Mark Gibson is 1619391802 and holds a License No. POR276 (Florida).

The current practice location address for Mark Gibson is 3334 Capital Medical Blvd #400, Tallahassee, FL and can be reached out via phone at 850-877-8174 and via fax at 850-877-5636. You can also correspond with Mark Gibson through the mailing address at 3334 CAPITAL MEDICAL BLVD #400, TALLAHASSEE, FL - 32308-4470 (mailing address contact number: 850-877-8174).

Location: 3334 Capital Medical Blvd #400, Tallahassee, FL, 32308-4470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619391802
Provider Name
Mark Gibson
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
3334 Capital Medical Blvd #400, Tallahassee, FL, 32308-4470
Phone Number
850-877-8174
Fax Number
850-877-5636
Provider Enumeration Date
02/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
951939400 05 FL
institution
Provider Business Practice Location Address Details
Address
3334 Capital Medical Blvd #400
City
Tallahassee
State
Florida
Zip
32308-4470
Phone Number
850-877-8174
Fax Number
850-877-5636
person
Provider Business Mailing Address Details
Address
3334 Capital Medical Blvd #400
City
Tallahassee
State
Florida
Zip
32308-4470
Phone Number
850-877-8174
Fax Number
850-877-5636
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
POR276 (Florida)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
POR276 (Florida)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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