Mark Lathrop, | |
2449 Blackbeard Dr, Jacksonville, FL 32224-1139 | |
(904) 238-0070 | |
Not Available |
Full Name | Mark Lathrop |
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Gender | Male |
Speciality | Registered Nurse |
Location | 2449 Blackbeard Dr, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003598368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | RN9415770 (Florida) | Primary |
Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
Mailing Address | Practice Location Address |
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Mark Lathrop, 2449 Blackbeard Dr, Jacksonville, FL 32224-1139 Ph: (904) 238-0070 | Mark Lathrop, 2449 Blackbeard Dr, Jacksonville, FL 32224-1139 Ph: (904) 238-0070 |
Joyce Wallace, CRNA, ARNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2165 Herschel St, Jacksonville, FL 32204 Phone: 904-387-4030 | |
Ramona Greene, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St, Jacksonville, FL 32214 Phone: 904-542-7300 | |
Mr. Brandon Neil Hillard, APRN Registered Nurse Medicare: Medicare Enrolled Practice Location: 4401 Emerson St Ste 8, Jacksonville, FL 32207 Phone: 904-387-9406 Fax: 904-212-0381 | |
Nina Garcia, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Mrs. Colette C Ikem, MSN, CNM Registered Nurse Medicare: Medicare Enrolled Practice Location: 515 W 6th St, Jacksonville, FL 32206 Phone: 904-253-2720 | |
Mrs. Tasha Ellsberry, APRN, FNP, PMHNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 13453 N Main St Ste 104, Jacksonville, FL 32218 Phone: 904-773-4390 Fax: 941-641-7089 |