Douglas, Mark Stephen

Douglas, Mark Stephen is an individual health care provider with primary practice located at 2080 Child St Department Of Dermatology - Naval Hospital Jacksonville, Jacksonville FL 32214-5005. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Douglas, Mark Stephen can be contacted via phone (904) 542-7912.

Contact Information

Primary practice address
2080 Child St Department Of Dermatology - Naval Hospital Jacksonville Jacksonville FL 32214-5005
Phone: (904) 542-7912
Fax: (904) 542-7917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101242719 Virginia

Profile Details

NPI number 1649335118
LBN Legal business name Douglas, Mark Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Sep 9th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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