Individual provider · Type 1 NPI

Mark G. Kantzler, DO

Adult Medicine Physician · Tampa, FL

NPI number 1083623847 Active

Practice location

1155 S Dale Mabry Hwy, #19
Tampa, FL 33629-5035

Call (727) 458-3011 Map

Fax (813) 383-9924

Mailing address

PO Box 1619
Largo, FL 33779-1619

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XOS 5165 (FL)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1083623847

Mark G. Kantzler, DO's National Provider Identifier is 1083623847, issued on Aug 7, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Tampa, FL. The record was last updated on Feb 8, 2012.