Bornstein, Mark David

Bornstein, Mark David is an sole proprietor health care provider with primary practice located at 4861 S Orange Ave , Orlando FL 32806-6949. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bornstein, Mark David can be contacted via phone (407) 857-4206.

Contact Information

Primary practice address
4861 S Orange Ave Orlando FL 32806-6949
Phone: (407) 857-4206
Fax: (407) 857-3893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1420 Florida

Profile Details

NPI number 1396859252
LBN Legal business name Bornstein, Mark David
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1396859252 NPPES
Florida MEDICAID 0410853

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