Perenich, Mark Nicholas
Perenich, Mark Nicholas is an sole proprietor health care provider with primary practice located at 6536 Gunn Hwy. , Tampa FL 33625-3853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Perenich, Mark Nicholas can be contacted via phone (813) 803-0029.Contact Information
Primary practice address
6536 Gunn Hwy.
Tampa FL 33625-3853
Phone: (813) 803-0029
Fax: (813) 949-8919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | Q3421 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | OS14036 | Florida |
Profile Details
| NPI number | 1497060487 |
|---|---|
| LBN Legal business name | Perenich, Mark Nicholas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2010 |
| Last updated | Mar 16th, 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 | 1497060487 | NPPES |
| Florida | Other | VJSQK | BLUE CROSS |
| Florida | Other | OS14036 | BLUE CROSS |
| Florida | MEDICAID | 103265500 | BLUE CROSS |
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