Cavitt, Mark Allen

Cavitt, Mark Allen is an individual health care provider with primary practice located at 880 6Th St S Suite 110, St Petersburg FL 33701-4827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Cavitt, Mark Allen can be contacted via phone (727) 767-8477.

Contact Information

Primary practice address
880 6Th St S Suite 110 St Petersburg FL 33701-4827
Phone: (727) 767-8477
Fax: (727) 767-8244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME66243 Florida

Profile Details

NPI number 1073563490
LBN Legal business name Cavitt, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 3rd, 2010 - about 14 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 1073563490 NPPES
Florida MEDICAID 375313100

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