Mark Sanville

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL1114 Issued in FL

Practice address

609 N Indigo Rd
Altamonte Springs, FL 32714-3112

Phone

(321) 363-2060

NPI assigned

Dec 12, 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

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": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1710318043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N INDIGO RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143112",
            "telephone_number": "321-363-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N INDIGO RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143112",
            "telephone_number": "321-363-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANVILLE",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL1114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twyla D Sanks, MS, LMHC
• Shalia Marie Santana Pagan, D.M.D.
• Kimberly Santana Parrilla
• Laurie Santiag, LPTA
• Roberto Candido Santos, M.D.
• Saphena Vein Clinic & Wellness Center, LLC
• Neville B Sarkari, M.D.
• Elizabeth Sarria, RBT
• Grace V Sarvotham, M.D.
• Elizabeth B Sasse, MD

• Athletic Trainer in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.