Milewski, Mark

Milewski, Mark is an individual health care provider with primary practice located at 701 6Th St S , St Petersburg FL 33701-4814. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Milewski, Mark can be contacted via phone (727) 823-1234.

Contact Information

Primary practice address
701 6Th St S St Petersburg FL 33701-4814
Phone: (727) 823-1234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104046 Florida

Profile Details

NPI number 1184777815
LBN Legal business name Milewski, Mark
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Aug 3rd, 2009 - about 16 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 1184777815 NPPES
Florida MEDICAID 292664400

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