Mctammany, Mark Stephen

Mctammany, Mark Stephen is an individual health care provider with primary practice located at 1315 Valentine St , Melbourne FL 32901-3127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Mctammany, Mark Stephen can be contacted via phone (321) 768-7677.

Contact Information

Primary practice address
1315 Valentine St Melbourne FL 32901-3127
Phone: (321) 768-7677
Fax: (321) 768-7756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME0072191 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME72191 Florida

Profile Details

NPI number 1265434211
LBN Legal business name Mctammany, Mark Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated May 18th, 2021 - about 5 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 1265434211 NPPES
Florida Other 8653840 CIGNA
Florida Other 5510582 CIGNA
Florida MEDICAID 252532100 CIGNA

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