Individual
DR. MARK J. RIEUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 TAMPA GENERAL CIRCLE, RADIOLOGY DEPARTMENT, TAMPA, FL 33606
(813) 253-2721
(813) 977-3720
Mailing address
2330 UTAH AVE STE 200, EL SEGUNDO, CA 90245-4817
(424) 290-8004
(813) 253-2299
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
75363
MA
2085R0202X
Diagnostic Radiology Physician
Primary
ME74591
FL
2085R0204X
Vascular & Interventional Radiology Physician
75363
MA
2085R0204X
Vascular & Interventional Radiology Physician
ME74591
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y002005MA01
NH BLUE SHIELD
NH
01
—
2042658
FIRST HEALTH & CCN
MA
01
—
241009
HARVARD PILGRIM HEALTHCAR
MA
01
—
25160
HEALTHY START
MA
01
—
2892557
AETNA/US HEALTHCARE
MA
01
—
300095289
RAILROAD MEDICARE
MA
01
—
30203121
NH MEDICAID
NH
05
—
3138402
—
MA
01
—
3281
FALLON
MA
01
—
4059948
CIGNA
MA
01
—
750289
TUFTS HEALTH PLAN
MA
01
—
998109
NETWORK
MA
01
—
J31215
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
09/20/2005
Last updated
04/11/2025
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