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MARIO E PROFET MD RDMS RDCS RPVI NPI 1487795092


NPI Information

NPI: 1487795092
Provider Name: MARIO E PROFET, MD, RDMS, RDCS, RPVI
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
11017 N DALE MABRY HWY STE B
TAMPA, FL
ZIP 33618
Phone: (813) 337-7402
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Mario E Profet, MD, RDMS, RDCS, RPVI is a general practice in Tampa, FL with 43 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Mario E Profet, MD, RDMS, RDCS, RPVI NPI is 1487795092. 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:

11017 N DALE MABRY HWY STE B
TAMPA, FL
ZIP 33618-873
Phone: (813) 337-7402
Fax: (813) 461-6462

The NPI 1487795092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 10/24/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeACN304FLORIDANo
2246XS1301XSpecialist/Technologist CardiovascularSonography76083No
32471S1302XRadiologic TechnologistSonography76083No
42471V0105XRadiologic TechnologistVascular Sonography76083No
5208D00000XGeneral PracticeME135981FLORIDAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.