Whiteside, Mark Eric

Whiteside, Mark Eric is an individual health care provider with primary practice located at 1100 Simonton St , Key West FL 33040-3110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Whiteside, Mark Eric can be contacted via phone (305) 809-5280.

Contact Information

Primary practice address
1100 Simonton St Key West FL 33040-3110
Phone: (305) 809-5280
Fax: (305) 293-1561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME0036940 Florida

Profile Details

NPI number 1356314934
LBN Legal business name Whiteside, Mark Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Apr 13th, 2015 - about 11 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 1356314934 NPPES
Florida MEDICAID 069424000

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