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Individual

DR. MARK P STUART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
17000 PORTER RD STE 201, WINTER GARDEN, FL 34787-8915
(321) 841-6444
(407) 290-2118
Mailing address
17000 PORTER RD STE 201, WINTER GARDEN, FL 34787-8915
(321) 841-6444
(407) 290-2118

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MS012107
MI
207RC0000X
Cardiovascular Disease Physician
Primary
OS11927
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0F31072
BCBSM COMMON PROV ID #
MI
05
116310900
FL
01
123909
CARE CHOICES
MI
01
310F337240
BCBSM CMG
MI
05
3524264
MI
05
4568835
MI
01
5630545
BCBSM
MI
01
C6854
M-CARE
MI
01
G85155
HEALTH ALLIANCE PLAN
MI
Enumeration date
08/30/2005
Last updated
01/06/2023
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