Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Gibson, CPO

Individual provider Prosthetist · NPI 1619391802

Mark Gibson, CPO is a Prosthetist in Tallahassee, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2

Practice location Address checks out

3334 Capital Medical Blvd #400
Tallahassee, FL 32308-4470
Phone: (850) 877-8174
Fax: (850) 877-5636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence POR276 (FL)
Orthotist Taxonomy 222Z00000X · Licence POR276 (FL)

Record details

NPI number1619391802
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedFebruary 10, 2014
Last updated in NPPESNovember 13, 2014

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