Whiteside, Mark Eric
Whiteside, Mark Eric is an individual health care provider with primary practice located at 1100 Simonton St , Key West FL 33040-3110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Whiteside, Mark Eric can be contacted via phone (305) 809-5280.Contact Information
Primary practice address
1100 Simonton St
Key West FL 33040-3110
Phone: (305) 809-5280
Fax: (305) 293-1561
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME0036940 | Florida |
Profile Details
NPI number | 1356314934 |
---|---|
LBN Legal business name | Whiteside, Mark Eric |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 13th, 2006 |
Last updated | Apr 13th, 2015 - about 9 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 | 1356314934 | NPPES |
Florida | MEDICAID | 069424000 |
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