Dillon, Mark C

Dillon, Mark C is an sole proprietor health care provider with primary practice located at 1421 Malabar Rd Ne Ste 201 , Palm Bay FL 32907-2559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Dillon, Mark C can be contacted via phone (321) 434-8423.

Contact Information

Primary practice address
1421 Malabar Rd Ne Ste 201 Palm Bay FL 32907-2559
Phone: (321) 434-8423
Fax: (321) 434-8148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME63710 Florida

Profile Details

NPI number 1013908920
LBN Legal business name Dillon, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Dec 5th, 2023 - 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 1013908920 NPPES
Florida MEDICAID 373405600
Florida Other 100013898
Florida Other MM198

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