NPI 1043212269

Mark a Mostovych, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Jacksonville, FL

Practice location

Address: 1824 King St STE 200, Jacksonville, FL 32204-4735
Phone: (904) 384-3343
Fax: (904) 400-6671

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence ME70190 (FL)

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Registry record

NPI: 1043212269
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2005
Record last updated: 23 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.