Individual
DR. MARK ERIC WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 SIMONTON ST, KEY WEST, FL 33040-3110
(305) 809-5280
(305) 293-1561
Mailing address
1735 BAHAMA DR, KEY WEST, FL 33040-5217
(305) 293-8294
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0036940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069424000
—
FL
Enumeration date
02/13/2006
Last updated
04/13/2015
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