Individual
MARK FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17824 JAMESTOWN WAY APT A, LUTZ, FL 33558-6639
(813) 494-0431
Mailing address
17824 JAMESTOWN WAY APT A, LUTZ, FL 33558-6639
(813) 494-0431
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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