Individual
MARK ERIK FOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-6111
Mailing address
807 INWOOD TER, JACKSONVILLE, FL 32207-4248
(904) 553-0118
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9300146
FL
Other
Enumeration date
01/15/2013
Last updated
05/24/2024
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