Provider Demographics
NPI:1679604102
Name:KOSINSKY, MARK A (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:A
Last Name:KOSINSKY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7652 ASHLEY PARK CT
Mailing Address - Street 2:SUITE 303
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-6199
Mailing Address - Country:US
Mailing Address - Phone:407-299-9717
Mailing Address - Fax:407-299-9727
Practice Address - Street 1:7651 ASHLEY PARK CT STE 404
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-6114
Practice Address - Country:US
Practice Address - Phone:407-299-9717
Practice Address - Fax:407-299-9727
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8387111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor