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Individual
MARK DORMAN
Active
Individual
MARK DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS23577
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XP695
HFMG
FL
Enumeration date
03/17/2023
Last updated
06/16/2026
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