Perni, Mark

Perni, Mark is an sole proprietor health care provider with primary practice located at 15100 Rescue Way , Clearwater FL 33762-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Perni, Mark can be contacted via phone (727) 535-1437.

Contact Information

Primary practice address
15100 Rescue Way Clearwater FL 33762-3502
Fax: (727) 535-4190
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS008592L Pennsylvania

Profile Details

NPI number 1750358099
LBN Legal business name Perni, Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2006
Last updated May 1st, 2018 - about 6 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 1750358099 NPPES
Pennsylvania MEDICAID 101436352

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