Individual
DR. MARK G KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N US HIGHWAY 441 STE 526, THE VILLAGES, FL 32159-8984
(352) 751-8960
(352) 728-7805
Mailing address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 751-8960
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD35866
TN
208600000X
Surgery Physician
Primary
ME138849
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524804
—
TN
01
—
KR024
MEDICARE
FL
01
—
ME138849
MEDICAL LICENSE
FL
01
—
P01082961
RR MEDICARE
TN
Enumeration date
01/09/2007
Last updated
01/15/2020
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