Individual
MARK A. MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
507 DEL PRADO BOULEVARD, CAPE CORAL, FL 33990
(239) 772-0500
(239) 772-3076
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0031596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038588300
—
FL
01
—
1193412
WELLCARE
FL
01
—
1262065-010
CIGNA PROVIDER NUMBER
FL
01
—
202216
AMERIGROUP PROVIDER NUM.
FL
01
—
256184
USA MNGD. CR. PROVIDER #
FL
01
—
277536
AVMED PROVIDER NUMBER
FL
01
—
4197070
AETNA PROVIDER NUMBER
FL
01
—
68175
OP. ENGIN. PROVIDER #
FL
01
—
709333
FIRST HLTH/CCN PROVIDER #
FL
01
—
79302
BCBS PROVIDER NUMBER
FL
01
—
ME0031596
METCARE PROVIDER NUMBER
FL
Enumeration date
02/21/2006
Last updated
04/26/2016
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