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
Fax: (904) 276-5308
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437152519 NPPES
Florida MEDICAID 049305800

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