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Individual
MR. MARK ANTHONY PAYNE
Active
Individual
MR. MARK ANTHONY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 2752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292040900
—
FL
Enumeration date
10/03/2006
Last updated
12/22/2025
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