1568758449 NPI number — MARK STERN, MD

Table of content: (NPI 1568758449)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568758449 NPI number — MARK STERN, MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARK STERN, MD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568758449
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7200 CORPORATE CENTER DR
Provider Second Line Business Mailing Address:
SUITE 600
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33126-1200
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-500-2000
Provider Business Mailing Address Fax Number:
305-500-2145

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 S MACDILL AVE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33609-3131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-837-2814
Provider Business Practice Location Address Fax Number:
813-839-4336
Provider Enumeration Date:
06/20/2011

Additional Information

Authorized Official

Authorized Official Last Name:
LOPEZ
Authorized Official First Name:
HOLLY
Authorized Official Middle Name:
Authorized Official Title or Position:
VP, SUPPORT SERVICES
Authorized Official Telephone Number:
305-500-2108

Provider Taxonomy Codes

  • Taxonomy code: 332900000X , with the licence number:  ME33074 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com