Individual
DR. MARK R CASANTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2323 9TH AVE N, ST PETERSBURG, FL 33713-6832
(727) 323-1111
Mailing address
1120 3RD AVE S, TIERRA VERDE, FL 33715-2229
(727) 641-5570
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME73964
FL
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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