Mark, Nicole J
Mark, Nicole J is an individual health care provider with primary practice located at 5300 W Hillsboro Blvd Suite 110, Coconut Creek FL 33073-4395. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mark, Nicole J can be contacted via phone (954) 794-1360.Contact Information
Primary practice address
5300 W Hillsboro Blvd Suite 110
Coconut Creek FL 33073-4395
Phone: (954) 794-1360
Fax: (954) 794-1367
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS8649 | Florida |
Profile Details
NPI number | 1801885348 |
---|---|
LBN Legal business name | Mark, Nicole J |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2005 |
Last updated | Jun 29th, 2011 - about 13 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 | 1801885348 | NPPES |
Florida | MEDICAID | 265026600 |
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