Individual
DR. MARK JOSEPH MAGENHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1760 MOUND ST, SARASOTA, FL 34236-7761
(941) 954-1600
(941) 951-2629
Mailing address
4571 ROBIN HOOD TRL W, SARASOTA, FL 34232-2640
(941) 954-1600
(941) 951-2629
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
44765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2303150
LICENSE REGISTRATION
FL
01
—
44765
MEDICAL LICENSE NUMBER
FL
Enumeration date
01/02/2007
Last updated
03/07/2023
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