Mark Konwiser Md Pa in Englewood - Dermatology
Mark Konwiser Md Pa - NPI 1750497350
Mark Konwiser Md Pa is a Dermatology in Englewood, Florida. Mark Konwiser Md Pa practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Mark Konwiser Md Pa is 1750497350. The last update date is 2018-06-21.
Mark Konwiser Md Pa'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 Md Pa is 900 Pine St, Englewood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark Konwiser Md Pa |
|---|---|
| Address | 900 Pine St, Englewood, Florida |
| Phone Number | 9414748811 |
| Fax Number | 9414730058 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Konwiser Mark |
| Credentials | M.D. |
| Telephone Number | 9414748811 |
NPI Number Detail
| NPI Number | 1750497350 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2018-06-21 |
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 | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | ME00050766 |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85944 | FL | OCCUPATIONAL LICENSE | |
| ME00050766 | FL | LIC NUMBER FLORIDA | |
| 22-0003555 | FL | RAIL ROAD MEDICARE # | |
| 10D0295356 | FL | CLIA # |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Konwiser Md Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Konwiser Md Pa has been assigned the NPI (National Provider Identifier) 1750497350. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mark Konwiser Md Pa's facilities are situated?
The facilities of Mark Konwiser Md Pa are physically located at the following address: 900 Pine St, Englewood, FL, 342234418.
What is Mark Konwiser Md Pa's area of expertise and its corresponding taxonomy classification?
The Mark Konwiser Md Pa's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mark Konwiser Md Pa receive its 1750497350 assignment from the Centers for Medicare & Medicaid Services?
The Mark Konwiser Md Pa was assigned its 1750497350 by the Centers for Medicare & Medicaid Services on 2006-08-23.
As of what date were the details related to Mark Konwiser Md Pa most recently updated or revised?
The information pertaining to Mark Konwiser Md Pa, including its address, specialty, and other relevant details, was last updated or revised on 2018-06-21.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC