Bornstein, Mark Ira

Bornstein, Mark Ira is an sole proprietor health care provider with primary practice located at 725 N 12Th Ave Bldg B , Arcadia FL 34266-8752. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Bornstein, Mark Ira can be contacted via phone (863) 494-1242.

Contact Information

Primary practice address
725 N 12Th Ave Bldg B Arcadia FL 34266-8752
Phone: (863) 494-1242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-004534 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY11422 Florida

Profile Details

NPI number 1518078351
LBN Legal business name Bornstein, Mark Ira
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jun 28th, 2022 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518078351 NPPES
Illinois Other 4932021 BLUE CROSS/BLUE SHIELD

Popular Providers