Wheeler, Mark Lyle

Wheeler, Mark Lyle is an individual health care provider with primary practice located at 1223 Gateway Dr Ste 2G , Melbourne FL 32901-2607. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Wheeler, Mark Lyle can be contacted via phone (321) 312-3497.

Contact Information

Primary practice address
1223 Gateway Dr Ste 2G Melbourne FL 32901-2607
Phone: (321) 312-3497
Fax: (321) 768-5082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101022241 Michigan
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X OS18501 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X OS18501 Florida

Profile Details

NPI number 1326494568
LBN Legal business name Wheeler, Mark Lyle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2016
Last updated Nov 6th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326494568 NPPES
Florida Other PH033 HF MA
Florida MEDICAID 114293700 HF MA

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