Farina, Mark S
Farina, Mark S is an sole proprietor health care provider with primary practice located at 15303 Amberly Dr Suite E, Tampa FL 33647-2308. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Farina, Mark S can be contacted via phone (813) 972-2929.Contact Information
Primary practice address
15303 Amberly Dr Suite E
Tampa FL 33647-2308
Phone: (813) 972-2929
Fax: (813) 977-1471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 13062 | Florida |
Profile Details
| NPI number | 1962534347 |
|---|---|
| LBN Legal business name | Farina, Mark S |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1962534347 | NPPES |
| Other | 64995 | BLUE CROSS BLUE SHIELD | |
| Other | 842353 | BLUE CROSS BLUE SHIELD |
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