MARK DESOMMA

FORT MYERS, FL
NPI1770696247
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9101246)
Enumeration Date2006-08-17
Last Update Date2021-03-25
Business Address
MARK DESOMMA PA
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Phone number: 239-343-2606
Mailing Address
MARK DESOMMA PA
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-3292
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