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:
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Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134125891 NPPES
Florida MEDICAID 257218400

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