Terk, Mitchell D

Terk, Mitchell D is an individual health care provider with primary practice located at 710 Lomax St Suite 1, Jacksonville FL 32204-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Terk, Mitchell D can be contacted via phone (904) 483-2310.

Contact Information

Primary practice address
710 Lomax St Suite 1 Jacksonville FL 32204-4004
Phone: (904) 483-2310
Fax: (904) 483-2313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME73925 Florida

Profile Details

NPI number 1366409021
LBN Legal business name Terk, Mitchell D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 11th, 2018 - 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 1366409021 NPPES
Florida Other 226458 AVMED
Florida MEDICAID 255850500 AVMED
Florida Other P00191302 AVMED
Florida Other 42370 AVMED

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