Mark J Elder Do PA

NPI #1144651209 in Jay, Florida

Provider Information

NPI Number: 1144651209
Entity Type: Organization
Organization Name: Mark J Elder Do PA
Primary Specialty: Family Medicine
Enumeration Date: Nov 27, 2013
Last Updated: May 4, 2016

Practice Location

Address: 3887 SCOTTS PLAZA DR
City: Jay
State: Florida
ZIP Code: 32565-4001
Phone: (850) 981-0320

Authorized Official

Name: LORI MICHELE ELDER
Title: PRACTICE MANAGER
Phone: (850) 981-0320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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