Individual
DR. MARK R FLEISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
836 PRUDENTIAL DR, SUITE 801, JACKSONVILLE, FL 32207-8334
(904) 288-0433
(904) 288-8996
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-3262
(904) 265-4807
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 0076032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257218400
—
FL
Enumeration date
06/27/2005
Last updated
05/23/2011
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