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Individual

DR. MARK M HARTNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13000 BRUCE B DOWNS BLVD, SURGERY SERVICE, TAMPA, FL 33612-4745
(813) 972-2000
(813) 903-4874
Mailing address
13000 BRUCE B DOWNS BLVD, SURGERY SERVICE, TAMPA, FL 33612-4745
(813) 972-2000
(813) 903-4874

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
ME105703
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009111900
FL
01
149JG
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/15/2007
Last updated
09/21/2015
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