Individual
ANTHONY R MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
524 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 902-3000
Mailing address
16570 CALISTOGA DR, BONITA SPRINGS, FL 34135-9113
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G63685
CA
207P00000X
Emergency Medicine Physician
Primary
ME148085
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G636850
—
CA
01
—
ME148085
MEDICAL LICENSE
FL
Enumeration date
04/27/2006
Last updated
03/16/2023
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