Streater, Mark R
Streater, Mark R is an individual health care provider with primary practice located at 8267 College Parkway , Fort Myers FL 33919. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Streater, Mark R can be contacted via phone (239) 938-3020.Contact Information
Primary practice address
8267 College Parkway
Fort Myers FL 33919
Phone: (239) 938-3020
Fax: (239) 936-1139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN12414 | Florida |
Profile Details
| NPI number | 1275593980 |
|---|---|
| LBN Legal business name | Streater, Mark R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Sep 10th, 2010 - about 16 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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