Mark Kenneth Dicarlo, PA Valid NPI

Individual provider · Physician Assistant · Stuart, FL

NPI

1710902606

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA3676 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-13

Last updated

2020-10-09