Mcmullen, Mark

Mcmullen, Mark is an individual health care provider with primary practice located at 6201 N Suncoast Blvd , Crystal River FL 34428-6712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mcmullen, Mark can be contacted via phone (352) 621-3100.

Contact Information

Primary practice address
6201 N Suncoast Blvd Crystal River FL 34428-6712
Phone: (352) 621-3100
Fax: (352) 621-3121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME49726 Florida

Profile Details

NPI number 1740203389
LBN Legal business name Mcmullen, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 20th, 2019 - about 7 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 1740203389 NPPES
Florida MEDICAID 378304900
Florida Other 27507

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