Individual
DR. MARK SARGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1715 BERGLUND LN, SUITE B, VIERA, FL 32940-6230
(321) 610-8955
(321) 610-8954
Mailing address
1715 BERGLUND LN, SUITE B, VIERA, FL 32940-6230
(321) 610-8955
(321) 610-8954
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME74593
FL
207VG0400X
Gynecology Physician
Primary
ME74593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239793
WELLCARE
FL
05
—
269307100
—
FL
01
—
3151723001
CIGNA
FL
01
—
37841
BLUE CROSS BLUE SHIELD
FL
01
—
7845531
AETNA
FL
Enumeration date
12/19/2005
Last updated
03/29/2025
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