Herschel, Mark Kelland
Herschel, Mark Kelland is an individual health care provider with primary practice located at 5452 Lake Howell Road , Winter Park FL 32792. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Herschel, Mark Kelland can be contacted via phone (407) 894-8081.Contact Information
Primary practice address
5452 Lake Howell Road
Winter Park FL 32792
Phone: (407) 894-8081
Fax: (407) 894-8082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME77485 | Florida |
Profile Details
| NPI number | 1124083068 |
|---|---|
| LBN Legal business name | Herschel, Mark Kelland |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Feb 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124083068 | NPPES |
| Florida | Other | 400650 | GHI |
| Florida | Other | 20922 | GHI |
| Florida | Other | 2439416 | GHI |
| Florida | MEDICAID | 25622700 | GHI |
| Florida | Other | 1476870 | GHI |
| Florida | Other | 209665 | GHI |
| Florida | Other | 5014060 | GHI |
| Florida | Other | 1689235 | GHI |
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