Individual
DR. MARK STEVEN FISHMAN
Active
Individual
DR. MARK STEVEN FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS9439
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002422800
—
FL
01
—
002876700
GROUP MEDICAID
FL
01
—
K0493
GROUP MEDICARE PTAN
—
01
—
P00418194
MEDICARE RAILROAD RETIREMENT
—
Enumeration date
04/04/2006
Last updated
12/05/2019
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