Bishop, Mardi Jane

Bishop, Mardi Jane is an individual health care provider with primary practice located at 1319 S International Pkwy Suite 1151, Lake Mary FL 32746-1408. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Bishop, Mardi Jane can be contacted via phone (407) 333-1616.

Contact Information

Primary practice address
1319 S International Pkwy Suite 1151 Lake Mary FL 32746-1408
Phone: (407) 333-1616
Fax: (407) 333-1617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 01054596A Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME94808 Florida

Profile Details

NPI number 1740275361
LBN Legal business name Bishop, Mardi Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 25th, 2010 - about 14 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 1740275361 NPPES
Florida Other 37022 BCBS FL
Florida MEDICAID 274559300 BCBS FL

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