DR. MARK G KANTZLER (NPI# 1083623847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083623847 |
| Entity Type | Individual |
| Full Name | DR. MARK G KANTZLER |
| Credential | DO |
| Practice Address |
1155 S Dale Mabry Hwy #19 Tampa FL 33629-5035 |
| Mailing Address |
Po Box 1619 Largo FL 33779-1619 |
| Practice Telephone | 7274583011 |
| Practice Fax Number | 8133839924 |
| Mailing Telephone | 7274583011 |
| Mailing Fax Number | 8133839924 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2012-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
OS 5165 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1155 S DALE MABRY HWY #19 |
| City | TAMPA |
| State | FL |
| Zip Code | 33629-5035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164878450 | Edward Sparks | Chiropractor | 1155 S Dale Mabry Hwy, Unit 8, Tampa, FL 33629-5035 | 2016-05-05 |
| 1396136305 | Baycare Urgent Care, LLC | Pharmacy | 1155 S Dale Mabry Hwy, Suite 7, Tampa, FL 33609-5020 | 2015-02-12 |
| 1891119269 | Drs Eye Care Pllc | Health Maintenance Organization | 1155 S Dale Mabry Hwy, Unit 16, Tampa, FL 33629-5035 | 2014-02-05 |
| 1164858353 | Tb Chiropractic Corp | Chiropractor | 1155 S Dale Mabry Hwy, #7, Tampa, FL 33629-5035 | 2013-09-19 |
| 1225334675 | Bay Point Urgent Care | Clinic/Center | 1155 S Dale Mabry Hwy, Unit 8, Tampa, FL 33629-5035 | 2011-02-02 |
| 1568656429 | West Coast Medicine of Tampa Bay, LLC | Family Medicine | 1155 S Dale Mabry Hwy, #19, Tampa, FL 33629-5035 | 2007-09-04 |
| 1497879407 | Thomas I Rhee | Chiropractor | 1155 S Dale Mabry Hwy, Suite #7, Tampa, FL 33629-5035 | 2007-03-16 |
| 1639232051 | Cory James Ruppel | Dentist | 1155 S Dale Mabry Hwy, Suite 14, Tampa, FL 33629-5035 | 2006-12-18 |
| 1952408429 | David Brendon Sabin | Optometrist | 1155 S Dale Mabry Hwy, Suite 16, Tampa, FL 33629-5035 | 2006-09-19 |
| 1558371062 | Solveig B. Ruppel | Dentist | 1155 S Dale Mabry Hwy, Suite 14, Tampa, FL 33629-5035 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952170 | Discreet Health Solutions, LLC | Family Medicine | 7124 Pelican Island Dr, Tampa, FL 33634-7463 | 2020-08-14 |
| 1477832848 | Florida Care Centers, Inc | Family Medicine | 7208 N. Sterling Avenue, Tampa, FL 33614 | 2011-08-16 |
| 1659672236 | Vijay Diwadkar,m.d.pa | Family Medicine | 701 W M.l.king Jr. Blvd., Suite 3, Tampa, FL 33603-3100 | 2010-11-12 |
| 1730238247 | Bartly Allen Storey | Family Medicine | 1523 W Hillsborough Ave, Tampa, FL 33603-1207 | 2007-01-10 |
| 1861581720 | Vijay Waman Diwadkar | Family Medicine | 701 W. Mlk Jr. Blvd., Suite #3, Tampa, FL 33603-3100 | 2006-10-11 |
| 1215972526 | Dimitri Novitzky | Family Medicine | 1001 N Macdill Ave Ste B, Tampa, FL 33607 | 2006-06-19 |
| 1851948996 | Luz Angela Soto | Family Medicine | 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 | 2019-08-22 |
| 1255865622 | Huy Duc Nguyen | Family Medicine | 2605 W Swann Ave Ste 100, Tampa, FL 33609-4039 | 2017-04-12 |
| 1386880318 | Henry A Odukomaiya Md Pa | Family Medicine | 3228 Cove Bend Dr, Tampa, FL 33613-2752 | 2008-12-22 |
| 1467645093 | Harvey Zale Hoffman | Family Medicine | 520 Falkenburg Rd, Tampa, FL 33619-7884 | 2007-08-27 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.