Adkins, Mark Shannon

Adkins, Mark Shannon is an individual health care provider with primary practice located at 720 W Oak St Ste 360 , Kissimmee FL 34741-4910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Adkins, Mark Shannon can be contacted via phone (407) 846-0090.

Contact Information

Primary practice address
720 W Oak St Ste 360 Kissimmee FL 34741-4910
Phone: (407) 846-0090
Fax: (407) 846-0072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME132078 Florida

Profile Details

NPI number 1174610265
LBN Legal business name Adkins, Mark Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174610265 NPPES
Florida MEDICAID 021191400
Florida MEDICAID 01077710
Florida Other 02203Y
Florida Other 3EIS3
Florida MEDICAID 2508605

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