Individual
MARK S GIRGUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40946 US HIGHWAY 19 N # 101, TARPON SPRINGS, FL 34689-5446
(813) 720-7237
(888) 366-6013
Mailing address
40946 US HIGHWAY 19 N # 101, TARPON SPRINGS, FL 34689-5446
(813) 720-7237
(888) 366-6013
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036166384
IL
2085R0202X
Diagnostic Radiology Physician
Primary
A82528
CA
2085R0202X
Diagnostic Radiology Physician
D79826
MD
2085R0202X
Diagnostic Radiology Physician
ME112607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A825280
—
CA
Enumeration date
06/03/2006
Last updated
11/22/2024
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