Individual
MARK J TRELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NAVAL HOSPITAL JACKSONVILLE 2080 CHILD STREET, JACKSONVILLE, FL 32214-0001
(904) 542-9752
Mailing address
NAVAL HOSPITAL JACKSONVILLE 2080 CHILD STREET, JACKSONVILLE, FL 32214-0001
(904) 542-9752
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036082394
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082394
—
IL
01
—
03905078
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/17/2006
Last updated
08/06/2025
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