Spatola, Mark A
Spatola, Mark A is an sole proprietor health care provider with primary practice located at 2021 Kingsley Ave Ste 101, Orange Park FL 32073-5128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Spatola, Mark A can be contacted via phone (904) 276-3376.Contact Information
Primary practice address
2021 Kingsley Ave Ste 101
Orange Park FL 32073-5128
Phone: (904) 276-3376
Fax: (904) 276-5308
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ME0053729 | Florida |
Profile Details
NPI number | 1437152519 |
---|---|
LBN Legal business name | Spatola, Mark A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 23rd, 2005 |
Last updated | Sep 3rd, 2014 - about 11 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 | 1437152519 | NPPES |
Florida | MEDICAID | 049305800 |
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