Individual
MARK LOEBIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 W NEWBERRY RD, EMERG DEPT, GAINESVILLE, FL 32605-4309
(352) 333-4900
(904) 346-0113
Mailing address
PO BOX 409036, ATLANTA, GA 30384-9036
(888) 689-1430
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0039200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038368600
—
FL
01
—
30429
BC/BS
FL
01
—
930016216
RAILROAD MCR
FL
Enumeration date
07/29/2006
Last updated
07/08/2007
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