Individual
MARK A. MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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