Healthcare Provider Details

I. General information

NPI: 1245292176
Provider Name (Legal Business Name): MARK D OBERLANDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9375 66TH ST N EYE ASSOCIATES OF PINELLAS
PINELLAS PARK FL
33782
US

IV. Provider business mailing address

9375 66TH ST N
PINELLAS PARK FL
33782-4418
US

V. Phone/Fax

Practice location:
  • Phone: 727-541-4469
  • Fax: 727-546-9661
Mailing address:
  • Phone: 727-541-4469
  • Fax: 727-546-9661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME0076079
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: