Vacker, Mark A
Vacker, Mark A is an sole proprietor health care provider with primary practice located at 4801 S University Dr Suite 104, Davie FL 33328-3839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vacker, Mark A can be contacted via phone (954) 434-1705.Contact Information
Primary practice address
4801 S University Dr Suite 104
Davie FL 33328-3839
Phone: (954) 434-1705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME37057 | Florida |
Profile Details
| NPI number | 1407896574 |
|---|---|
| LBN Legal business name | Vacker, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Oct 17th, 2007 - about 18 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 | 1407896574 | NPPES |
| Florida | MEDICAID | 25662100 |
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