Mark C Dillon
Gastroenterologist
1223 Gateway Dr
Melbourne
, Florida 32901-2607
Mark C Dillon
Gastroenterologist
1223 Gateway Dr
Melbourne
, Florida 32901-2607
(321) 242-4934
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Mark C Dillon
- 3150 N Wickham Rd Ste 6
- Melbourne, FL
- Zip : 32935-2322
- Fax : (321) 242-4934
- Phone : (321) 242-3227
Second Address
- Mark C Dillon
- 1223 Gateway Dr
- Melbourne, FL
- Zip : 32901-2607
- Fax : (321) 409-1879
- Phone : (321) 725-4500
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | ME63710 | FL |
National Provider Identifier
| NPI | 1013908920 |
|---|---|
| Provider Name | Mark C Dillon |
| First Address | Melbourne, FL 32935-2322 |
| Second Address | Melbourne, FL 32901-2607 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2005 |
| Last Update Date | 23/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100013898 | RR MEDICARE (01) | FL |
| 373405600 | (05) | FL |
| F64111 | (02) | |
| MM198 | MEDICARE (01) | FL |
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.