Messinese, Mark Allen

Messinese, Mark Allen is an individual health care provider with primary practice located at 1127 16Th Ave S , Jacksonville Beach FL 32250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Messinese, Mark Allen can be contacted via phone (904) 247-7778.

Contact Information

Primary practice address
1127 16Th Ave S Jacksonville Beach FL 32250
Phone: (904) 247-7778
Fax: (904) 390-7389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0078887 Florida

Profile Details

NPI number 1922021104
LBN Legal business name Messinese, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Dec 24th, 2018 - about 8 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 1922021104 NPPES
Florida Other 34436 MEDICARE GROUP #
Florida MEDICAID 257826300 MEDICARE GROUP #
Florida Other 25590 MEDICARE GROUP #

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