Individual
MARK K EMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4085 UNIVERSITY BLVD SOUTH, # 3, JACKSONVILLE, FL 32216
(904) 448-4180
(904) 448-4184
Mailing address
4085 UNIVERSITY BLVD SOUTH, # 3, JACKSONVILLE, FL 32216
(904) 448-4180
(904) 448-4184
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME67970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130016076
RR MEDICARE
FL
05
—
259196100
—
FL
01
—
26912
BCBS
FL
Enumeration date
12/11/2006
Last updated
07/15/2010
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