Sultzman, Mark Charles
Sultzman, Mark Charles is an sole proprietor health care provider with primary practice located at 3955 Indian River Blvd Ste 100 , Vero Beach FL 32960-4800. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Sultzman, Mark Charles can be contacted via phone (772) 569-2330.Contact Information
Primary practice address
3955 Indian River Blvd Ste 100
Vero Beach FL 32960-4800
Phone: (772) 569-2330
Fax: (772) 569-2630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PAT9105191 | Florida |
Profile Details
| NPI number | 1841524527 |
|---|---|
| LBN Legal business name | Sultzman, Mark Charles |
| Credentials | PA-C, PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2009 |
| Last updated | Apr 6th, 2022 - about 2 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 | 1841524527 | NPPES |
| Florida | Other | PA9105191 | LICENSE |
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