Individual
DR. MARK A HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 396-5682
(904) 346-0864
Mailing address
820 PRUDENTIAL DR STE 713, JACKSONVILLE, FL 32207-8209
(904) 396-5682
(904) 346-0864
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME59978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006906021A
—
GA
05
—
055224100
—
FL
01
—
12778
BCBS
FL
Enumeration date
07/19/2006
Last updated
07/09/2010
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