Mostovych, Mark A

Mostovych, Mark A is an individual health care provider with primary practice located at 1824 King St Ste 200, Jacksonville FL 32204-4735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mostovych, Mark A can be contacted via phone (904) 384-3343.

Contact Information

Primary practice address
1824 King St Ste 200 Jacksonville FL 32204-4735
Phone: (904) 384-3343
Fax: (904) 400-6671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME70190 Florida

Profile Details

NPI number 1043212269
LBN Legal business name Mostovych, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Nov 23rd, 2022 - about 4 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 1043212269 NPPES
Florida MEDICAID 250218600
Florida Other 780000717

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