Individual
MARK ANDREW NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
917 1ST ST N APT 1202, JACKSONVILLE BEACH, FL 32250-9109
(936) 544-4498
Mailing address
917 1ST ST N APT 1202, JACKSONVILLE BEACH, FL 32250-9109
(936) 544-4498
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35.152092
OH
208800000X
Urology Physician
Primary
ME161324
FL
Other
Enumeration date
10/11/2006
Last updated
12/18/2024
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