Mark M Fogg (NPI# 1194123729, PAC ID# 9234410523) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194123729 |
| PAC ID by PECOS | 9234410523 |
| Professional Enrollment ID | I20161228001102 |
| Full Name | Mark M Fogg |
| Organization Legal Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Address |
11021 Spring Hill Dr Spring Hill FL 34608-5049 |
| Phone Number | 3528355823 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4688579311 |
| Number of Group Practice Members | 155 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13908 Lakeshore Blvd, Suite 240, Hudson, FL 34667-1492 | 7278681312 | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| 11021 Spring Hill Dr, Spring Hill, FL 34608-5049 | 3528355823 | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Organization Legal Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Physicians | 160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Etan Ariel Marks | Pathology | Leavitt Medical Associates of Florida Inc | 1300 Nw 17th Ave, Suite 130, Delray Beach, FL 33445-2588 |
| Matthew Hendricks | Physician Assistant | Leavitt Medical Associates of Florida Inc | 3 Sw 129th Ave, Suite 100, Pembroke Pines, FL 33027-1778 |
| Alexandra Gabrielle Feuer | Physician Assistant | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| Caitlin Fredericka | Nurse Practitioner | Leavitt Medical Associates of Florida Inc | 2005 W Reynolds St, Plant City, FL 33563-4743 |
| Danielle Elizabeth Marino | Nurse Practitioner | Leavitt Medical Associates of Florida Inc | 12525 Philips Hwy, Suite 101, Jacksonville, FL 32256-3740 |
| Savina Aneja | Dermatology | Leavitt Medical Associates of Florida Inc | 400 W Fairbanks Ave, Winter Park, FL 32789-5084 |
| Valerie A Yantsos Ray | Pathology | Leavitt Medical Associates of Florida Inc | 14521 University Point Pl, Tampa, FL 33613-5424 |
| Stephen W Eubanks | Dermatology | Leavitt Medical Associates of Florida Inc | 1720 Dunlawton Ave, Suite 2, Port Orange, FL 32127-2916 |
| Ivette M. Sosa Seda | Dermatology | Leavitt Medical Associates of Florida Inc | 4100 Southpoint Dr E, Suite 1, Jacksonville, FL 32216-8710 |
| Kimlien T Nguyen | Nurse Practitioner | Leavitt Medical Associates of Florida Inc | 1801 N Belcher Rd, Suite B, Clearwater, FL 33765-1452 |
| Street Address |
11021 SPRING HILL DR |
| City | SPRING HILL |
| State | FL |
| Zip | 34608-5049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Terzigni | Family Medicine | 11015 Springhill Dr, Spring Hill, FL 34608 | |
| Mary M Li | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 7154 Medical Ctr Dr, Spring Hill, FL 34608-1329 |
| Huayang Tang | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 7154 Medical Ctr Dr, Spring Hill, FL 34608-1329 |
| Shilen N Patel | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 7154 Medical Ctr Dr, Spring Hill, FL 34608-1329 |
| Uday B Dandamudi | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 7154 Medical Ctr Dr, Spring Hill, FL 34608-1329 |
| Dean George Davis | Plastic and Reconstructive Surgery | Select Physicians Alliance | 4655 Keysville Ave, Spring Hill, FL 34608-3516 |
| Amy Capoocia | Family Medicine | Access Health Care Physicians LLC | 10494 Northcliffe Blvd, Spring Hill, FL 34608-3656 |
| Olakunle Ajibola | Family Medicine | Access Health Care Physicians LLC | 10494 Northcliffe Blvd, Spring Hill, FL 34608-3656 |
| Anthony J Dedea | Family Medicine | Community Hospital Family Practice LLC | 11097 Hearth Rd, Spring Hill, FL 34608-3704 |
| Lenora V Mccall | Certified Nurse Midwife (cnm) | Community Hospital Family Practice LLC | 11097 Hearth Rd, Spring Hill, FL 34608-3704 |
| Find all physicians in zip 34608 | |||
| City | SPRING HILL |
| Zip Code | 34608 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SPRING HILL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mark M Fogg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.