Sibley, Mark A

Sibley, Mark A is an individual health care provider with primary practice located at 4101 Evans Ave , Fort Myers FL 33901-9310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sibley, Mark A can be contacted via phone (239) 939-3456.

Contact Information

Primary practice address
4101 Evans Ave Fort Myers FL 33901-9310
Phone: (239) 939-3456
Fax: (239) 939-1575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME30852 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X AS9252040 Florida

Profile Details

NPI number 1184687089
LBN Legal business name Sibley, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated May 21st, 2019 - about 5 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 1184687089 NPPES
Florida MEDICAID 039453000
Florida Other 62253

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