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NPI Code Detail

MEDICARE: MR. MARK ANDREW FRITSCHLE PA

MEDICARE: MR. MARK ANDREW FRITSCHLE PA
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
1363AM0700XMedical Physician AssistantPA9103726FL

Other Identifiers

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

General Provider Information

NPI Number : 1104837673
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK ANDREW FRITSCHLE PA
Provider Business Mailing Address
First Line : 8383 S TAMIAMI TRL UNIT 115
Second Line :
City : SARASOTA
State : FL
Zip : 34238-2901
Country : US
Telephone Number : 941-497-4069
Fax Number : 941-496-9145
Provider Business Practice Location Address
First Line : 8383 S TAMIAMI TRL UNIT 115
Second Line :
City : SARASOTA
State : FL
Zip : 34238-2901
Country : US
Telephone Number : 941-497-4069
Fax Number : 941-496-9145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 09/22/2020

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Directions to “ MR. MARK ANDREW FRITSCHLE PA” Practice Location

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