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Individual

DR. MARK DEAN VANNORSDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1619 CREIGHTON RD STE 1, PENSACOLA, FL 32504
(850) 444-4700
(850) 444-7497
Mailing address
PO BOX 11037, PENSACOLA, FL 32524-1037
(850) 444-7000
(850) 444-7497

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD.23695
AL
207RN0300X
Nephrology Physician
MD14683
ME
207RN0300X
Nephrology Physician
Primary
ME137397
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100975100
FL
Enumeration date
06/01/2005
Last updated
12/28/2021
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