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MARK A MINTZ, MD – NPI #1053386342
Urology

NPI Profile for MARK A MINTZ in CAPE CORAL, FL.

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Contact Information

MARK A MINTZ, MD
507 DEL PRADO BOULEVARD
CAPE CORAL, FL  33990
 Phone: 239-772-0500
 Fax: 239-772-3076
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Urology

 208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for MARK A MINTZ · (Male)

NPI # 1053386342
Status Active
Credentials MD
Entity Individual
Enumeration date 02/21/2006
Last updated 04/26/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME0031596
  • FL Medicaid 038588300
  • FL Other 4197070 AETNA PROVIDER NUMBER
  • FL Other 202216 AMERIGROUP PROVIDER NUM.
  • FL Other 277536 AVMED PROVIDER NUMBER
  • FL Other 79302 BCBS PROVIDER NUMBER
  • FL Other 1262065-010 CIGNA PROVIDER NUMBER
  • FL Other 709333 FIRST HLTH/CCN PROVIDER #
  • FL Other ME0031596 METCARE PROVIDER NUMBER
  • FL Other 68175 OP. ENGIN. PROVIDER #
  • FL Other 256184 USA MNGD. CR. PROVIDER #
  • FL Other 1193412 WELLCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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