Male or Other

Mark C. Sultzman PA-C, PHARMD

Medical Physician Assistant in Vero Beach, FL(View on Map)

Full Name

Mark Charles Sultzman PA-C, PHARMD

NPI Number

1841524527

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/28/2009

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PAT9105191

Contact
Information

Purpose

Mailing
Location

Address

3955 INDIAN RIVER BLVD STE 100
3955 INDIAN RIVER BLVD STE 100

City

Vero Beach
Vero Beach

State

FL
FL

Postal Code

32960-4800
32960-4800

Country

US
US

Telephone Number

(772) 569-2330
(772) 569-2330

Identifiers

Identifier

PA9105191

Identifier State

FL

Identifier Issuer

LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/06/2022

Provider Address

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