Horton, Mark A

Horton, Mark A is an individual health care provider with primary practice located at 800 Prudential Dr , Jacksonville FL 32207-8202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Horton, Mark A can be contacted via phone (904) 396-5682.

Contact Information

Primary practice address
800 Prudential Dr Jacksonville FL 32207-8202
Phone: (904) 396-5682
Fax: (904) 346-0864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X ME59978 Florida

Profile Details

NPI number 1699794347
LBN Legal business name Horton, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 9th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699794347 NPPES
Florida MEDICAID 055224100
Florida MEDICAID 006906021A
Florida Other 12778

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