MARK KONWISER M.D. NPI 1316930092

NPI Information

NPI: 1316930092
Provider Name: MARK KONWISER, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
900 PINE ST
BLDG 1 STE 122/123
ENGLEWOOD, FL
ZIP 34223
Phone: (941) 474-8811
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Mark Konwiser, M.D. is a specialist in Englewood, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Mark Konwiser, M.D. NPI is 1316930092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

900 PINE ST
BLDG 1 STE 122/123
ENGLEWOOD, FL
ZIP 34223-418
Phone: (941) 474-8811
Fax: (941) 473-0058

The enumeration date for this NPI number is 8/26/2005 and was last updated on 7/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		ME00050766	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B82910	MEDICARE UPIN	FLORIDA
2	03734	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
3	10D0295356	OTHER	FLORIDA	CLIA #
4	85944	OTHER	FLORIDA	OCCUPATIONAL LICENSE
5	22-0003555	OTHER	FLORIDA	RAIL ROAD MEDICARE
6	65-0596347	OTHER	FLORIDA	FEDERAL TAX #
7	ME00050766	OTHER	FLORIDA	FL LIC NUMBER
8	AK1922485	OTHER	FLORIDA	DEA#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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