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NPI Code Detail

MEDICARE: MARK ANTHONY BITTLES MD

MEDICARE: MARK ANTHONY BITTLES 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
12085P0229XPediatric Radiology Physician84288GA
22085P0229XPediatric Radiology PhysicianME 116578FL
32085R0204XVascular & Interventional Radiology PhysicianME116578FL

General Provider Information

NPI Number : 1922111020
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ANTHONY BITTLES MD
Provider Business Mailing Address
First Line : 501 6TH AVE S FL 33701
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33701-4634
Country : US
Telephone Number : 727-767-8480
Fax Number : 727-767-8420
Provider Business Practice Location Address
First Line : 1906 BLAKE AVE
Second Line :
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-4227
Country : US
Telephone Number : 970-447-4065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 02/17/2026

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