Individual
DR. MARK STEPHEN MCTAMMANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 VALENTINE ST, MELBOURNE, FL 32901-3127
(321) 768-7677
(321) 768-7756
Mailing address
1315 VALENTINE ST, MELBOURNE, FL 32901-3127
(321) 344-7677
(321) 344-7678
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME72191
FL
207VG0400X
Gynecology Physician
Primary
ME0072191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252532100
—
FL
01
—
5510582
AETNA
FL
01
—
8653840
CIGNA
FL
Enumeration date
06/02/2005
Last updated
05/18/2021
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