Mark Konwiser is a Specialist in Englewood, Florida. Mark Konwiser practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark Konwiser is 1316930092. The last update date is 2023-03-07.
Mark Konwiser's current location address is 900 Pine St, Englewood, Florida. You can contact this provider via phone number 9414748811 and fax number 9414730058. The mailing address for Mark Konwiser is 900 Pine St, Englewood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Konwiser |
|---|---|
| Address | 900 Pine St, Englewood, Florida |
| Phone Number | 9414748811 |
| Fax Number | 9414730058 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1316930092 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 900 Pine St |
|---|---|
| City | Englewood |
| State | Florida (FL) |
| Post Code | 342234418 |
| Phone Number | 9414748811 |
| Fax Number | 9414730058 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME00050766 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22-0003555 | FL | RAIL ROAD MEDICARE | |
| 85944 | FL | OCCUPATIONAL LICENSE | |
| 65-0596347 | FL | FEDERAL TAX # | |
| 10D0295356 | FL | CLIA # | |
| ME00050766 | FL | FL LIC NUMBER |
Post Comment/ Review Below
What is the Mark Konwiser's 1316930092?
The Mark Konwiser's NPI (National Provider Identifier) Number is 1316930092. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Konwiser's facilities are geographically located?
The facilities of Mark Konwiser are physically situated at the following location: 900 Pine St, Englewood, FL, 342234418.
What is the Mark Konwiser's specialty and taxonomy code?
The Mark Konwiser's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did Mark Konwiser receive its 1316930092 assignment?
The Mark Konwiser was assigned its 1316930092 on 2005-08-26, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Mark Konwiser most recently updated or revised?
The details related to Mark Konwiser, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC