Mark C Witte, MD
Otolaryngology in Tampa, FL. Individual provider (NPI-1).
NPI number1477537348
StatusActive
Last updated in NPPESMar 31, 2021
Details
- NPI
- 1477537348
- Entity type
- Individual (NPI-1)
- Name
- Mark C Witte
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2005
- Certification date
- Mar 31, 2021
- Last updated
- Mar 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | ME133555 | FL | Yes |
| 207Y00000X | Otolaryngology | 37269 | MN |
Practice location
13330 Usf Laurel DrTampa, FL 33612-6601
Phone 813-974-2201
Mailing address
Po Box 917770Orlando, FL 32891-0001
Phone 813-974-2201
Other practice locations
2024 S 6th St
Brainerd, MN 56401-4529
Brainerd, MN 56401-4529
Phone 218-828-7100
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