Organization
MARK E PETRITES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E PETRITES MD (OWNER)
(239) 495-3990
Entity
Organization
Contact information
Practice address
3501 HEALTH CENTER BLVD, STE 2110, BONITA SPRINGS, FL 34135
(239) 495-3990
(239) 949-2888
Mailing address
PO BOX 367446, BONITA SPRINGS, FL 34136
(239) 495-3990
(239) 949-2888
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME73280
FL
Other
Enumeration date
08/24/2006
Last updated
09/15/2010
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