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Organization
MARK X NORLEANS MD PHD PA
Active
Organization
MARK X NORLEANS MD PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK X. NORLEANS (PRESIDENT)
(239) 482-5003
Entity
Organization
Contact information
Practice address
9730 COMMERCE CENTER COURT, FORT MYERS, FL 33908-3615
(239) 482-5003
(239) 989-0166
Mailing address
9730 COMMERCE CENTER COURT, FORT MYERS, FL 33908-3615
(239) 482-5003
(239) 989-0166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME86281
LICENSE
FL
01
—
P00017745
RAILROAD MEDICARE
FL
Enumeration date
12/18/2006
Last updated
09/26/2012
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