Witte, Mark C
Witte, Mark C is an individual health care provider with primary practice located at 13330 Usf Laurel Dr , Tampa FL 33612-6601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Witte, Mark C can be contacted via phone (813) 974-2201.Contact Information
Primary practice address
13330 Usf Laurel Dr
Tampa FL 33612-6601
Phone: (813) 974-2201
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 37269 | Minnesota |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME133555 | Florida |
Profile Details
NPI number | 1477537348 |
---|---|
LBN Legal business name | Witte, Mark C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 2nd, 2005 |
Last updated | Mar 31st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477537348 | NPPES |
Florida | Other | 6EBRJ | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 590223100 | BLUE CROSS BLUE SHIELD |
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