Bickert, Mark Andrew

Bickert, Mark Andrew is an individual health care provider with primary practice located at 1223 Gateway Dr Ste 1G , Melbourne FL 32901-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Bickert, Mark Andrew can be contacted via phone (321) 549-0528.

Contact Information

Primary practice address
1223 Gateway Dr Ste 1G Melbourne FL 32901-2607
Phone: (321) 549-0528
Fax: (321) 984-8483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X OS17885 Florida

Profile Details

NPI number 1528012242
LBN Legal business name Bickert, Mark Andrew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Sep 6th, 2023 - about last year

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 1528012242 NPPES
Florida MEDICAID 113851200
Florida Other O3614

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