Mark a Messinese MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME64038 Issued in FL

Legal business name

MARK A MESSINESE MD PA

Practice address

1127 16TH Ave S
Jacksonville Beach, FL 32250-3213

Phone

(904) 247-7778

Fax

(904) 241-9673

NPI assigned

Mar 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark A. Messinese, MD

Title

President

Phone

(904) 247-7778

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1508986936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 16TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503213",
            "telephone_number": "904-247-7778",
            "fax_number": "904-241-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 16TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503213",
            "telephone_number": "904-247-7778",
            "fax_number": "904-241-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A MESSINESE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "MESSINESE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-247-7778",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME64038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CK5864",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mardi Eden Mangus, DPT
• Robert K Mannel, M.D.
• Marsh Landing Behavioral Group Inc
• Alisia Shart Martin, MD
• Shakela Martin, DMD
• Sonja George Martin, MOT
• Jaime Martino, CRNP

• Internal Medicine Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.