Mascola, Trent

Mascola, Trent is an sole proprietor health care provider with primary practice located at 1720 E Venice Ave Fl 2 , Venice FL 34292-3190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mascola, Trent can be contacted via phone (941) 483-9730.

Contact Information

Primary practice address
1720 E Venice Ave Fl 2 Venice FL 34292-3190
Phone: (941) 483-9730
Fax: (941) 483-9745
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS9026 Florida

Profile Details

NPI number 1134127020
LBN Legal business name Mascola, Trent
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Feb 6th, 2024 - about 10 months 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 1134127020 NPPES
Florida Other 2194874 UNITED HEALTH CARE
Florida Other 45193 UNITED HEALTH CARE
Florida Other 5307287001 UNITED HEALTH CARE
Florida MEDICAID 268092100 UNITED HEALTH CARE

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