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Mr. Mark T Selleck, LPO,CPO
Prosthetic/Orthotic Supplier in Boca Raton, Florida
NPI 1871519363

Mark T Selleck is a Prosthetic/Orthotic Supplier based in Sebring, FL. Mark T Selleck practices in Boca Raton, FL and has the professional credentials of LPO,CPO. The NPI Number for Mark T Selleck is 1871519363 and holds a License No. POR175 (Florida).

The current practice location address for Mark T Selleck is 3350 Nw 2Nd Avenue, Boca Raton, FL and can be reached out via phone at 561-394-4200 and via fax at 561-394-4422.

Location: 3350 Nw 2Nd Avenue, Boca Raton, FL, 33872-2131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871519363
Provider Name
Mark T Selleck
Credential
LPO,CPO
Provider Entity Type
Individual
Gender
Male
Address
3350 Nw 2Nd Avenue, Boca Raton, FL, 33872-2131
Phone Number
561-394-4200
Fax Number
561-394-4422
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3350 Nw 2Nd Avenue
City
Boca Raton
State
Florida
Zip
33431
Phone Number
561-394-4200
Fax Number
561-394-4422
person
Provider Business Mailing Address Details
Address
3350 Nw 2Nd Avenue
City
Boca Raton
State
Florida
Zip
33431
Phone Number
561-394-4200
Fax Number
561-394-4422
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
POR175 (Florida)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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