MEDICARE: MR. MARK CHRISTOPHER SASLO ARNP

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
1	363LA2200X	Adult Health Nurse Practitioner	3310352	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ARNP3310352	OTHER	FL	ARNP LICENSE

General Provider Information

NPI Number	:	1861471567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK CHRISTOPHER SASLO ARNP

Provider Business Mailing Address
First Line	:	5159 CLUB RD
Second Line	:
City	:	HAVERHILL
State	:	FL
Zip	:	33415-1228
Country	:	US
Telephone Number	:	561-478-2389
Fax Number	:	561-478-2389

Provider Business Practice Location Address
First Line	:	7305 NORTH MILITARY TRAIL
Second Line	:	INFECTIOUS DISEASES
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410
Country	:	US
Telephone Number	:	561-422-7522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	11/24/2008

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