Fleisher, Mark R
Fleisher, Mark R is an individual health care provider with primary practice located at 836 Prudential Dr Suite 801, Jacksonville FL 32207-8334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fleisher, Mark R can be contacted via phone (904) 288-0433.Contact Information
Primary practice address
836 Prudential Dr Suite 801
Jacksonville FL 32207-8334
Phone: (904) 288-0433
Fax: (904) 288-8996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME 0076032 | Florida |
Profile Details
| NPI number | 1134125891 |
|---|---|
| LBN Legal business name | Fleisher, Mark R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | May 23rd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134125891 | NPPES |
| Florida | MEDICAID | 257218400 |
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