Mctammany, Mark Stephen
Mctammany, Mark Stephen is an individual health care provider with primary practice located at 1315 Valentine St , Melbourne FL 32901-3127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Mctammany, Mark Stephen can be contacted via phone (321) 768-7677.Contact Information
Primary practice address
1315 Valentine St
Melbourne FL 32901-3127
Phone: (321) 768-7677
Fax: (321) 768-7756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | ME0072191 | Florida |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME72191 | Florida |
Profile Details
| NPI number | 1265434211 |
|---|---|
| LBN Legal business name | Mctammany, Mark Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | May 18th, 2021 - about 4 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 | 1265434211 | NPPES |
| Florida | Other | 8653840 | CIGNA |
| Florida | Other | 5510582 | CIGNA |
| Florida | MEDICAID | 252532100 | CIGNA |
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