Paese, Mario Marc
Paese, Mario Marc is an individual health care provider with primary practice located at 6000 N Federal Hwy , Fort Lauderdale FL 33308-2226. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Paese, Mario Marc can be contacted via phone (954) 771-2551.Contact Information
Primary practice address
6000 N Federal Hwy
Fort Lauderdale FL 33308-2226
Phone: (954) 771-2551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | OS20311 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | OS20311 | Florida |
Profile Details
| NPI number | 1609436567 |
|---|---|
| LBN Legal business name | Paese, Mario Marc |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2019 |
| Last updated | Sep 6th, 2023 - about 2 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 | 1609436567 | NPPES |
| Florida | Other | 270949204 | NON-MEDICARE |
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