Provider Demographics
NPI:1255308151
Name:CUFFE, MARK (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:CUFFE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:22 LAKE BEAUTY DR
Mailing Address - Street 2:STE 301
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2040
Mailing Address - Country:US
Mailing Address - Phone:407-960-5850
Mailing Address - Fax:407-960-5854
Practice Address - Street 1:1245 W FAIRBANKS AVE
Practice Address - Street 2:SUITE 350
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-7111
Practice Address - Country:US
Practice Address - Phone:407-960-5850
Practice Address - Fax:407-960-5854
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2016-12-27
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Provider Licenses
StateLicense IDTaxonomies
FLME64345207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL372990700Medicaid
FL372990700Medicaid