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

Mr. Mark S. Gibson, CSFA

Individual provider Surgical Assistant · NPI 1922434380

Mr. Mark S. Gibson, CSFA is a Surgical Assistant in Lutz, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
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Practice location Address checks out

2104 Blind Pond Ave
Lutz, FL 33549-5580
Phone: (813) 892-0226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 82150 (FL)

Record details

NPI number1922434380
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorYes
NPI enumeratedSeptember 17, 2013
Last updated in NPPESSeptember 17, 2013
Mailing address2104 Blind Pond Ave, Lutz, FL 33549-5580

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