National Provider Identifier Database

MARK S MATHUSA JR
Veterinarian

A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.


Contact Information

MARK S MATHUSA JR
785 JUPITER BLVD NW
PALM BAY, FL32907-8209
Phone: 321-952-4315
Fax: 321-952-2222
Website:
Specialty Taxonomy Code
* Veterinarian 174M00000X

* Indicates primary specialty

NPI Profile & details for MARK S MATHUSA JR

NPI Number 1598988305
Credentials
Entity Individual
Enumeration date 04/10/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: 4637
Hospital affiliation n/a

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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