Active NPI
Mark O. Asperilla M.D.P.a.
- Infectious Disease Physician
- Port Charlotte, FL
National Provider Identifier
1336313758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME0052172
- Legal business name
- MARK O. ASPERILLA M.D.P.A.
- Practice address
- 3300 Tamiami TRL
Ste.102a
Port Charlotte, FL 33952-8054 - Phone
- (941) 624-4499
- Fax
- (941) 624-0212
- NPI assigned
- Apr 16, 2008
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Mark Olivares Asperilla, M.D.
- Title
- President-Owner
- Phone
- (941) 624-4499
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME0052172 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3300 Tamiami TRL
Ste.102a
Port Charlotte, FL 33952-8054
Mailing address
3300 Tamiami TRL
Ste.102a
Port Charlotte, FL 33952-8054
Phone (941) 624-4499
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10933 | Other | FL | MEDICARE PTAN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2008.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208304000000",
"number": "1336313758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 TAMIAMI TRL",
"address_2": "STE.102A",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528054",
"telephone_number": "941-624-4499",
"fax_number": "941-624-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 TAMIAMI TRL",
"address_2": "STE.102A",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528054",
"telephone_number": "941-624-4499",
"fax_number": "941-624-0212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK O. ASPERILLA M.D.P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A",
"authorized_official_last_name": "ASPERILLA",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "OLIVARES",
"authorized_official_title_or_position": "PRESIDENT-OWNER",
"authorized_official_telephone_number": "941-624-4499",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME0052172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "10933",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.