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NPI Code Detail

MEDICARE: DR. MARK A. DREYER DPM, FACAFAS

MEDICARE: DR. MARK A. DREYER DPM, FACAFAS
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
1171000000XMilitary Health Care Provider00347RI
2213ES0103XFoot & Ankle Surgery Podiatrist00347RI
3213ES0103XFoot & Ankle Surgery PodiatristPO4081FL

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
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952735219
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK A. DREYER DPM, FACAFAS
Provider Business Mailing Address
First Line : 11505 RANGELAND PKWY
Second Line :
City : BRADENTON
State : FL
Zip : 34211-4041
Country : US
Telephone Number : 941-362-8662
Fax Number : 941-362-8602
Provider Business Practice Location Address
First Line : 11505 RANGELAND PKWY
Second Line :
City : BRADENTON
State : FL
Zip : 34211-4041
Country : US
Telephone Number : 941-362-8662
Fax Number : 941-362-8602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2013
Last Update Date : 03/06/2026

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