Individual
MARK A ENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2801 N STATE ROAD 7, MARGATE, FL 33063-5727
(954) 978-4010
Mailing address
111 CONTINENTAL DR STE 412, NEWARK, DE 19713-4332
(302) 709-4497
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11005052
FL
367500000X
Certified Registered Nurse Anesthetist
R129878
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-9-1965
DOB
PA
Enumeration date
01/06/2006
Last updated
05/11/2026
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