Disclafani, Mark
Disclafani, Mark is an individual health care provider with primary practice located at 6002 Pointe West Blvd , Bradenton FL 34209-5531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Disclafani, Mark can be contacted via phone (941) 792-2020.Contact Information
Primary practice address
6002 Pointe West Blvd
Bradenton FL 34209-5531
Phone: (941) 792-2020
Fax: (941) 782-1089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME56206 | Florida |
Profile Details
| NPI number | 1649278656 |
|---|---|
| LBN Legal business name | Disclafani, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | May 20th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649278656 | NPPES |
| Florida | MEDICAID | 063466200 |
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