Individual
DR. MARK STEVEN BLEIWEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 846-2776
(352) 846-4853
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME95724
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274155500
—
FL
Enumeration date
06/20/2006
Last updated
08/18/2009
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