Organization
MARK O. ASPERILLA M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK OLIVARES ASPERILLA M.D. (PRESIDENT-OWNER)
(941) 624-4499
Entity
Organization
Contact information
Practice address
3300 TAMIAMI TRL, STE.102A, PORT CHARLOTTE, FL 33952-8054
(941) 624-4499
(941) 624-0212
Mailing address
3300 TAMIAMI TRL, STE.102A, PORT CHARLOTTE, FL 33952-8054
(941) 624-4499
(941) 624-0212
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0052172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10933
MEDICARE PTAN
FL
Enumeration date
04/16/2008
Last updated
04/16/2008
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