MARK FAM

FORT MYERS, FL
NPI1659012623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS20402)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-05
Last Update Date2025-03-28
Business Address
MARK FAM DO
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901-5857
Phone number: 239-343-2371
Mailing Address
MARK FAM DO
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-3831