Individual
DR. MARK W. ERNEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 VIA DE LUNA DR UNIT I, PENSACOLA BEACH, FL 32561-6809
(448) 216-6727
Mailing address
3112 COQUINA WAY, GULF BREEZE, FL 32563-2747
(406) 300-2025
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
50575
MT
208D00000X
General Practice Physician
53134
TN
208D00000X
General Practice Physician
MD.36816
AL
208D00000X
General Practice Physician
Primary
ME164216
FL
Other
Enumeration date
04/04/2013
Last updated
11/15/2023
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