Casebolt, Mark Allen

Casebolt, Mark Allen is an individual health care provider with primary practice located at 1541 Sw 1St Ave Ste 105 , Ocala FL 34471-6506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Casebolt, Mark Allen can be contacted via phone (352) 622-8152.

Contact Information

Primary practice address
1541 Sw 1St Ave Ste 105 Ocala FL 34471-6506
Phone: (352) 622-8152
Fax: (352) 622-4408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME109242 Florida

Profile Details

NPI number 1881633402
LBN Legal business name Casebolt, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 22nd, 2021 - about 4 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 1881633402 NPPES
Florida MEDICAID 003506600
Florida Other MB090
Florida Other ME109242
Florida Other 14C2E

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