Mrkanda Das Fitch, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA65398 Issued in FL

Practice address

1002 NW 23Rd Ave
Gainesville, FL 32609-5403

Phone

(352) 575-4276

NPI assigned

Jul 31, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mark D Fitch Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1679905723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326160043",
            "telephone_number": "352-575-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 NW 23RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326095403",
            "telephone_number": "352-575-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "MRKANDA",
        "middle_name": "DAS",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA65398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "FITCH",
            "middle_name": "D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David S. Fishman, M.D.
• Keren Fishman, MD
• Fit for Life Physical Therapy, Inc
• Fit for Life Physical Therapy, Inc
• Margaret Fita, ARNP
• Brenda Fitz
• Brian Casey Fitzgerald Jr., MD
• Bridget Mary Fitzgerald, MSW, LCSW
• David B Fitzgerald, MD
• Jennifer Fitzgerald, D.O.

• Massage Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.