Blas, Mark Louis
Blas, Mark Louis is an individual health care provider with primary practice located at 4600 W Newberry Rd , Gainesville FL 32607-2247. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Blas, Mark Louis can be contacted via phone (352) 367-2310.Contact Information
Primary practice address
4600 W Newberry Rd
Gainesville FL 32607-2247
Phone: (352) 367-2310
Fax: (352) 367-2512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME73500 | Florida |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | ME73500 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | ME73500 | Florida |
Profile Details
| NPI number | 1588752984 |
|---|---|
| LBN Legal business name | Blas, Mark Louis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Mar 27th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588752984 | NPPES |
| Florida | MEDICAID | 252191100 |
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