Mokotoff, David Mark

Mokotoff, David Mark is an individual health care provider with primary practice located at 5398 Park St N , St Petersburg FL 33709-1041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mokotoff, David Mark can be contacted via phone (727) 544-1441.

Contact Information

Primary practice address
5398 Park St N St Petersburg FL 33709-1041
Phone: (727) 544-1441
Fax: (727) 545-8263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME39843 Florida

Profile Details

NPI number 1720071004
LBN Legal business name Mokotoff, David Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Feb 9th, 2010 - about 14 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 1720071004 NPPES
Florida MEDICAID 066384100

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