Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Kenneth Dicarlo, PA

Individual provider Physician Assistant · NPI 1710902606

Mark Kenneth Dicarlo, PA is a Physician Assistant in Stuart, Florida. Qualified in 1998, 28 years ago. Practices with Martin Memorial Medical Center Inc, a 516-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
28
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3801 S Kanner Hwy Ste 200
Stuart, FL 34994-4801
Phone: (772) 219-4026
Fax: (772) 283-4919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 509 Se Riverside Dr, Stuart, FL 34994-2579 — (772) 223-5665

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3676 (FL)

Record details

NPI number1710902606
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020
Mailing addressPo Box 417, Stuart, FL 34995-0417

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Martin Memorial Medical Center Inc — 516 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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