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NPI Code Detail

MEDICARE: DR. MARK A SOCINSKI MD

MEDICARE: DR. MARK A SOCINSKI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician009500454NC
2207RH0003XHematology & Oncology PhysicianME128890FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740341726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK A SOCINSKI MD
Provider Business Mailing Address
First Line : 2501 N ORANGE AVE STE 689
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4648
Country : US
Telephone Number : 407-303-2024
Fax Number : 407-303-2038
Provider Business Practice Location Address
First Line : 2501 N ORANGE AVE STE 689
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4648
Country : US
Telephone Number : 407-303-2024
Fax Number : 407-303-2038
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 08/24/2016

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Directions to “ DR. MARK A SOCINSKI MD” Practice Location

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