Carlo, Mark Gregory

Carlo, Mark Gregory is an individual health care provider with primary practice located at 13002 Seminole Blvd Ste 4 , Largo FL 33778-2125. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Carlo, Mark Gregory can be contacted via phone (727) 585-8888.

Contact Information

Primary practice address
13002 Seminole Blvd Ste 4 Largo FL 33778-2125
Fax: (727) 674-0022
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH6715 Florida

Profile Details

NPI number 1689634628
LBN Legal business name Carlo, Mark Gregory
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 11th, 2013 - about 11 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 1689634628 NPPES
Florida MEDICAID 381074700

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