Individual
MARK B VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8380 RIVERWALK PARK BLVD STE 100, FORT MYERS, FL 33919-8758
(239) 343-9960
(239) 343-9977
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-2755
(239) 424-2756
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS15765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0998650
HEALTH PLUS
MI
01
—
0N89830001
BLUE CROSS MEDICARE ADVAN
MI
01
—
1015760
MCLAREN HEALTH PLAN
MI
05
—
101721600
—
FL
05
—
114592330
—
MI
01
—
139094
PREFERRED CHOICE
MI
01
—
1427074780
HEALTH ALLIANCE PLAN
MI
01
—
16587
MCARE
MI
01
—
382626202
CARE CHOICES
MI
01
—
5251032
BLUE CROSS
MI
01
—
7420565
AETNA
MI
01
—
P00271698
PALMETTO GBA - RR MEDICAR
MI
Enumeration date
07/13/2006
Last updated
08/04/2025
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