Individual
MR. MARK S. FRISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 10TH AVE S, JACKSONVILLE BEACH, FL 32250-5136
(904) 247-2220
(904) 247-2296
Mailing address
350 10TH AVE S, JACKSONVILLE BEACH, FL 32250-5136
(904) 247-2220
(904) 247-2296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0068458
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2240835
AETNA GROUP #
FL
01
—
V2353
BCBS GROPU #
FL
Enumeration date
03/14/2007
Last updated
07/08/2007
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