Mars, Donald R.
Mars, Donald R. is an individual health care provider with primary practice located at 820 Prudential Dr Ste 304 Credentialing Department, Jacksonville FL 32207-8205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mars, Donald R. can be contacted via phone (904) 346-3649.Contact Information
Primary practice address
820 Prudential Dr Ste 304 Credentialing Department
Jacksonville FL 32207-8205
Phone: (904) 346-3649
Fax: (904) 348-5627
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME20357 | Florida |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME20357 | Florida |
Profile Details
NPI number | 1033181177 |
---|---|
LBN Legal business name | Mars, Donald R. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 2006 |
Last updated | Nov 18th, 2015 - about 10 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 | 1033181177 | NPPES |
Florida | MEDICAID | 2662680-00 | |
Florida | Other | P00267350 |
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