Dr. Mark G Kantzler
Family Doctor - Adult Medicine
1155 S Dale Mabry Hwy #19
Tampa
, Florida 33629-5035
Dr. Mark G Kantzler
Family Doctor - Adult Medicine
1155 S Dale Mabry Hwy #19
Tampa
, Florida 33629-5035
(813) 383-9924
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Mark G Kantzler
- Po Box 1619
- Largo, FL
- Zip : 33779-1619
- Fax : (813) 383-9924
- Phone : (727) 458-3011
Second Address
- Dr. Mark G Kantzler
- 1155 S Dale Mabry Hwy #19
- Tampa, FL
- Zip : 33629-5035
- Fax : (813) 383-9924
- Phone : (727) 458-3011
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | OS 5165 | FL |
National Provider Identifier
| NPI | 1083623847 |
|---|---|
| Provider Name | Dr. Mark G Kantzler |
| First Address | Largo, FL 33779-1619 |
| Second Address | Tampa, FL 33629-5035 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2006 |
| Last Update Date | 08/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E32311 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.