Individual
DR. RYAN MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7002
(352) 273-7388
Mailing address
PO BOX 112727, GAINESVILLE, FL 32611-2727
(352) 273-7002
(352) 273-7388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301116993
MI
207Q00000X
Family Medicine Physician
ME166965
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
4301116993
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME166965
FL
Other
Enumeration date
05/04/2016
Last updated
06/22/2024
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