Conant, Mark
Conant, Mark is an individual health care provider with primary practice located at 960 7Th Ave N , St Petersburg FL 33705-3475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Conant, Mark can be contacted via phone (727) 821-8101.Contact Information
Primary practice address
960 7Th Ave N
St Petersburg FL 33705-3475
Phone: (727) 821-8101
Fax: (727) 825-1357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME137024 | Florida |
Profile Details
| NPI number | 1922431394 |
|---|---|
| LBN Legal business name | Conant, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2013 |
| Last updated | Jun 26th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922431394 | NPPES |
| Florida | MEDICAID | 114506200 |
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