HomeNPI Verification

NPI Verification

National Provider Identifier: 1790778009

Mark G Bandyk, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

Practice Address

1324 LAKELAND HILLS BLVD

ATTN: MEDICAL STAFF OFFICE

LAKELAND, FL 338054543

NPI Enumeration Date

August 23, 2005

NPI Number

1790778009

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry