Individual
DR. MARK STEPHEN MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, UFJP EMERGENCY MEDICINE, JACKSONVILLE, FL 32209-6511
(904) 244-4405
(904) 244-4508
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME89160
FL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
ME89160
FL
207R00000X
Internal Medicine Physician
ME89160
FL
208000000X
Pediatrics Physician
ME89160
FL
Other
Enumeration date
01/30/2006
Last updated
12/06/2007
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