Individual
DR. MARK M HARTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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