Mintz, Mark A.

Mintz, Mark A. is an individual health care provider with primary practice located at 507 Del Prado Boulevard , Cape Coral FL 33990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mintz, Mark A. can be contacted via phone (239) 772-0500.

Contact Information

Primary practice address
507 Del Prado Boulevard Cape Coral FL 33990
Phone: (239) 772-0500
Fax: (239) 772-3076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME0031596 Florida

Profile Details

NPI number 1053386342
LBN Legal business name Mintz, Mark A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Apr 26th, 2016 - about 9 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 1053386342 NPPES
Florida Other 202216 AMERIGROUP PROVIDER NUM.
Florida Other 256184 AMERIGROUP PROVIDER NUM.
Florida Other 709333 AMERIGROUP PROVIDER NUM.
Florida Other 1193412 AMERIGROUP PROVIDER NUM.
Florida Other 1262065-010 AMERIGROUP PROVIDER NUM.
Florida Other 4197070 AMERIGROUP PROVIDER NUM.
Florida Other 79302 AMERIGROUP PROVIDER NUM.
Florida MEDICAID 038588300 AMERIGROUP PROVIDER NUM.
Florida Other 277536 AMERIGROUP PROVIDER NUM.
Florida Other 68175 AMERIGROUP PROVIDER NUM.
Florida Other ME0031596 AMERIGROUP PROVIDER NUM.

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