Individual
DR. MARK G KANTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1155 S DALE MABRY HWY, #19, TAMPA, FL 33629-5035
(727) 458-3011
(813) 383-9924
Mailing address
PO BOX 1619, LARGO, FL 33779-1619
(727) 458-3011
(813) 383-9924
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS 5165
FL
Other
Enumeration date
08/07/2006
Last updated
02/08/2012
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