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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588752984 NPPES
Florida MEDICAID 252191100

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