Vannorsdall, Mark Dean

Vannorsdall, Mark Dean is an individual health care provider with primary practice located at 1619 Creighton Rd Ste 1 , Pensacola FL 32504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Vannorsdall, Mark Dean can be contacted via phone (850) 444-4700.

Contact Information

Primary practice address
1619 Creighton Rd Ste 1 Pensacola FL 32504
Phone: (850) 444-4700
Fax: (850) 444-7497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD14683 Maine
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME137397 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD.23695 Alabama

Profile Details

NPI number 1336141555
LBN Legal business name Vannorsdall, Mark Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Dec 28th, 2021 - about 3 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 1336141555 NPPES
Florida MEDICAID 100975100

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