Mathieson, Mark Eugene

Mathieson, Mark Eugene is an sole proprietor health care provider with primary practice located at 258 Treemonte Dr Ste 258, Orange City FL 32763-7945. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Mathieson, Mark Eugene can be contacted via phone (386) 628-3376.

Contact Information

Primary practice address
258 Treemonte Dr Ste 258 Orange City FL 32763-7945
Phone: (386) 628-3376
Fax: (386) 877-0188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME128227 Florida
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 35077172M Ohio
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X ME128227 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME128227 Florida

Profile Details

NPI number 1144315821
LBN Legal business name Mathieson, Mark Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated May 29th, 2024 - about 2 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 1144315821 NPPES
Ohio MEDICAID 2331631
Ohio Other ME1281227

Popular Providers