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Individual

ANAH MARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN,CNM

Contact information

Practice address
301 HEALTH PARK BLVD STE 219, ST AUGUSTINE, FL 32086-5795
(904) 819-9898
(904) 819-9594
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP3134792
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP3134792
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
308741700
FL
Enumeration date
05/04/2007
Last updated
07/24/2019
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