Mark Stephen Mathusa in Palm Bay - Veterinarian
Mark Stephen Mathusa - NPI 1598988305
Mark Stephen Mathusa is a Veterinarian in Palm Bay, Florida. Mark Stephen Mathusa practices all healthcare services and medical treatments related to Veterinarian. The NPI Number for Mark Stephen Mathusa is 1598988305. The last update date is 2007-07-08.
Mark Stephen Mathusa's current location address is 175 Elfin St, Palm Bay, Florida. You can contact this provider via phone number 3219524315 and fax number 3219522222. The mailing address for Mark Stephen Mathusa is 175 Elfin St, Palm Bay, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Stephen Mathusa |
|---|---|
| Address | 175 Elfin St, Palm Bay, Florida |
| Phone Number | 3219524315 |
| Fax Number | 3219522222 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1598988305 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 175 Elfin St |
|---|---|
| City | Palm Bay |
| State | Florida (FL) |
| Post Code | 32909 |
| Phone Number | 3219524315 |
| Fax Number | 3219522222 |
Provider's Primary Taxonomy Detail
| Speciality | Veterinarian |
|---|---|
| Taxonomy | 174M00000X |
| Licence No | 4637 |
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Definition: A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
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What is the unique 10-digit identifier code issued to Mark Stephen Mathusa by the Centers for Medicare & Medicaid Services?
The Mark Stephen Mathusa has been assigned the NPI (National Provider Identifier) 1598988305 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark Stephen Mathusa's facilities are situated?
The facilities of Mark Stephen Mathusa are physically located at the following address: 175 Elfin St, Palm Bay, FL, 32909.
What is the Mark Stephen Mathusa's specialty and taxonomy code?
The Mark Stephen Mathusa's specialty is Veterinarian, and the corresponding taxonomy code is 174M00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1598988305 to Mark Stephen Mathusa?
The Mark Stephen Mathusa received its 1598988305 assignment from the Centers for Medicare & Medicaid Services on 2007-04-10.
As of what date were the details related to Mark Stephen Mathusa most recently updated or revised?
The information pertaining to Mark Stephen Mathusa, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.