Streater, Mark R

Streater, Mark R is an individual health care provider with primary practice located at 8267 College Parkway , Fort Myers FL 33919. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Streater, Mark R can be contacted via phone (239) 938-3020.

Contact Information

Primary practice address
8267 College Parkway Fort Myers FL 33919
Fax: (239) 936-1139
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN12414 Florida

Profile Details

NPI number 1275593980
LBN Legal business name Streater, Mark R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Sep 10th, 2010 - about 14 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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