Individual
MARK C DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1421 MALABAR RD NE STE 201, PALM BAY, FL 32907-2559
(321) 434-8423
(321) 434-8148
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-8423
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME63710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100013898
RR MEDICARE
FL
05
—
373405600
—
FL
01
—
MM198
MEDICARE
FL
Enumeration date
10/31/2005
Last updated
12/05/2023
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