Individual
MARK LAVERN MESSINGHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9912 LITTLE RD, NEW PORT RICHEY, FL 34654-3419
(727) 869-4100
Mailing address
17815 HICKORY MOSS PL, TAMPA, FL 33647-2285
(813) 973-8697
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
M25811
MN
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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