Individual
DR. BECCA J MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3438 LAWTON RD STE 2B, ORLANDO, FL 32803-2948
(407) 868-8451
(407) 868-8495
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS12797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012881700
—
FL
01
—
HW387Z
MEDICARE
FL
Enumeration date
07/10/2010
Last updated
09/11/2019
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