Perenich, Mark Nicholas

Perenich, Mark Nicholas is an sole proprietor health care provider with primary practice located at 6536 Gunn Hwy. , Tampa FL 33625-3853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Perenich, Mark Nicholas can be contacted via phone (813) 803-0029.

Contact Information

Primary practice address
6536 Gunn Hwy. Tampa FL 33625-3853
Phone: (813) 803-0029
Fax: (813) 949-8919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X Q3421 Texas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X OS14036 Florida

Profile Details

NPI number 1497060487
LBN Legal business name Perenich, Mark Nicholas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2010
Last updated Mar 16th, 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 1497060487 NPPES
Florida Other VJSQK BLUE CROSS
Florida Other OS14036 BLUE CROSS
Florida MEDICAID 103265500 BLUE CROSS

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