Kansora, Mary Beth

Kansora, Mary Beth is an individual health care provider with primary practice located at 3880 Tamiami Trl N , Naples FL 34103-3504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Kansora, Mary Beth can be contacted via phone (239) 659-3937.

Contact Information

Primary practice address
3880 Tamiami Trl N Naples FL 34103-3504
Phone: (239) 659-3937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 200000480 North Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME131063 Florida

Profile Details

NPI number 1881698645
LBN Legal business name Kansora, Mary Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Mar 17th, 2018 - about 6 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 1881698645 NPPES
North Carolina MEDICAID 89093AG
North Carolina Other 093AG

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