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Individual

MARK D FLORA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2801 CHARLOTTE AVE, NASHVILLE, TN 37209-4035
(615) 250-9200
(615) 250-9251
Mailing address
2801 CHARLOTTE AVE, NASHVILLE, TN 37209-4035
(615) 250-9200
(615) 250-9251

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD18008
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0157614
BLUE CROSS
TN
05
3059623
TN
01
340013311
RR MEDICARE
TN
05
64799158
KY
Enumeration date
12/30/2005
Last updated
07/08/2007
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