Individual
DR. MARK J ALKIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 TAMPA GENERAL CIR, STE 860, TAMPA, FL 33606-3601
(813) 258-4533
(813) 258-4733
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME56072
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME0056072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058348100
—
FL
01
—
12385
BX IND
FL
01
—
2463923
AETNA
FL
01
—
330005523
RR MEDICARE
FL
01
—
593689604
TAX ID
FL
01
—
LQ888
BLUE CROSS BLUE SHIELD
FL
01
—
ME0056072
FL LICENSE
FL
Enumeration date
06/28/2005
Last updated
03/31/2021
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