Mark E Jentoft in Jacksonville - Anatomic Pathology & Clinical Pathology
Mark E Jentoft - NPI 1508089475
Mark E Jentoft is a Anatomic Pathology & Clinical Pathology in Jacksonville, Florida. Mark E Jentoft practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Mark E Jentoft is 1508089475. The last update date is 2020-10-16.
Mark E Jentoft's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532150 and fax number 9049530115. The mailing address for Mark E Jentoft is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark E Jentoft |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532150 |
| Fax Number | 9049530115 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508089475 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2020-10-16 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532150 |
| Fax Number | 9049530115 |
Provider's Primary Taxonomy Detail
| Speciality | Anatomic Pathology & Clinical Pathology |
|---|---|
| Taxonomy | 207Zp0102X |
| Licence No | ME133854 |
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Definition: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ENROLLED | MN | -- | |
| 35350900 | WI | -- | |
| ENROLLED | IA | -- | |
| P01194177 | MN | RAILROAD MEDICARE | |
| 240002000 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark E Jentoft by the Centers for Medicare & Medicaid Services?
The Mark E Jentoft has been issued the NPI (National Provider Identifier) 1508089475 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mark E Jentoft's physical address?
The Mark E Jentoft is physically located at 4500 San Pablo Rd S, in the city of Jacksonville, FL, with the postal code 322241865.
What is the Mark E Jentoft's area of specialization and corresponding taxonomy classification?
The Mark E Jentoft's specialty field is Anatomic Pathology & Clinical Pathology, and it falls under the taxonomy code 207Zp0102X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1508089475 to Mark E Jentoft?
The Mark E Jentoft received its 1508089475 assignment from the Centers for Medicare & Medicaid Services on 2007-04-10.
As of what date were the details related to Mark E Jentoft most recently updated or revised?
The information pertaining to Mark E Jentoft, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-16.
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