Pitts, Mark Phillip
Pitts, Mark Phillip is an sole proprietor health care provider with primary practice located at 17356 Us Highway 301 N , Starke FL 32091-1619. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Pitts, Mark Phillip can be contacted via phone (904) 827-7150.Contact Information
Primary practice address
17356 Us Highway 301 N
Starke FL 32091-1619
Phone: (904) 827-7150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1669947552 |
|---|---|
| LBN Legal business name | Pitts, Mark Phillip |
| Credentials | CAP, CCJAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 8th, 2018 |
| Last updated | Oct 8th, 2018 - about 7 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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