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Organization
MARK J ELDER DO PA
Active
Organization
MARK J ELDER DO PA
Active
Other names
Heritage Family Medicine and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MICHELE ELDER (PRACTICE MANAGER)
(850) 981-0320
Entity
Organization
Contact information
Practice address
3887 SCOTTS PLAZA DR, JAY, FL 32565-4001
(850) 981-0320
(850) 981-0911
Mailing address
3887 SCOTTS PLAZA DR, JAY, FL 32565-4001
(850) 981-0320
(850) 981-0911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS8505
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262643800
—
FL
Enumeration date
11/27/2013
Last updated
05/04/2016
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