Mark A Stich in Jacksonville - Family Medicine

Mark A Stich - NPI 1336117514

Mark A Stich is a Family Medicine in Jacksonville, Florida. Mark A Stich practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark A Stich is 1336117514. The last update date is 2018-12-28.

Mark A Stich's current location address is 810 Lane Ave S, Jacksonville, Florida. You can contact this provider via phone number 9047839680 and fax number 9046930138. The mailing address for Mark A Stich is 810 Lane Ave S, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark A Stich
Address 810 Lane Ave S, Jacksonville, Florida
Phone Number 9047839680
Fax Number 9046930138
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1336117514
Provider Enumeration Date 2006-03-14
Last Updated Date 2018-12-28

Provider Mailing Address Detail

Address 810 Lane Ave S
City Jacksonville
State Florida (FL)
Post Code 322054785
Phone Number 9047839680
Fax Number 9046930138

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No OS5510
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80178328 FL RAILROAD MEDICARE

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FAQs about Mark A Stich

What is the unique identification code assigned to Mark A Stich by the Centers for Medicare & Medicaid Services?

The Mark A Stich has been issued the NPI (National Provider Identifier) 1336117514. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mark A Stich is geographically located?

The Mark A Stich is physically situated at the following location: 810 Lane Ave S, Jacksonville, FL, 322054785.

What is Mark A Stich's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mark A Stich is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1336117514 to Mark A Stich?

The Centers for Medicare & Medicaid Services originally issued the 1336117514 to Mark A Stich on 2006-03-14.

When was the information related to Mark A Stich most recently updated or refreshed?

The details pertaining to the Mark A Stich, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-12-28.

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