Rich, Mark A.

Rich, Mark A. is an individual health care provider with primary practice located at 1725 Cook Ave , Orlando FL 32806-2911. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Rich, Mark A. can be contacted via phone (321) 843-9017.

Contact Information

Primary practice address
1725 Cook Ave Orlando FL 32806-2911
Phone: (321) 843-9017
Fax: (321) 843-9019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME63017 Florida
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X ME63017 Florida

Profile Details

NPI number 1518076389
LBN Legal business name Rich, Mark A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 1st, 2019 - about 7 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 1518076389 NPPES
Florida MEDICAID 371655400

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