Mauch, James C.

Mauch, James C. is an individual health care provider with primary practice located at 620 10Th St N , St Petersburg FL 33705-1407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Mauch, James C. can be contacted via phone (727) 824-7105.

Contact Information

Primary practice address
620 10Th St N St Petersburg FL 33705-1407
Phone: (727) 824-7105
Fax: (727) 824-7125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X ME78907 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME78907 Florida

Profile Details

NPI number 1235124967
LBN Legal business name Mauch, James C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235124967 NPPES
Florida MEDICAID 024358000

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