Richard, Mark P.
Richard, Mark P. is an individual health care provider with primary practice located at 2450 Tamiami Trl Ste A , Port Charlotte FL 33952-3922. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Richard, Mark P. can be contacted via phone (941) 624-2704.Contact Information
Primary practice address
2450 Tamiami Trl Ste A
Port Charlotte FL 33952-3922
Phone: (941) 624-2704
Fax: (941) 627-6066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 190702 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11012723 | Florida |
Profile Details
| NPI number | 1053378646 |
|---|---|
| LBN Legal business name | Richard, Mark P. |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Apr 1st, 2024 - about 2 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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