Provider Demographics
NPI:1104837673
Name:FRITSCHLE, MARK ANDREW (PA)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:ANDREW
Last Name:FRITSCHLE
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:8383 S TAMIAMI TRL UNIT 115
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-2901
Mailing Address - Country:US
Mailing Address - Phone:941-497-4069
Mailing Address - Fax:941-496-9145
Practice Address - Street 1:8383 S TAMIAMI TRL UNIT 115
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-2901
Practice Address - Country:US
Practice Address - Phone:941-497-4069
Practice Address - Fax:941-496-9145
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2020-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9103726363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical