DR MARK ISENBERG PA
Podiatry at Hickorynut Ave, Oldsmar, FL

License number
Florida PO0001247
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. MARK ISENBERG DPM
Title: PRESIDENT
Phone: (727) 639-1973
Address
Address
450 Hickorynut Ave, Oldsmar, FL 34677
National Provider ID: 1255365177
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. MARK ISENBERG, PA

450 Hickory Nut Ave, Oldsmar, FL 34677

Industry:
Medical Doctor's Office
Registration:
Sep 22, 1999
State ID:
P99000084261
Business type:
Florida Profit Corporation
Director, Vice Presidents:
Mark S Isenberg (President, Director), 450 Hickory Nut Ave, Oldsmar, FL 34677 (Physical),Marcia G. Molle Director, Vice President, inactive
Agent:
Marcia Molle,450 Hickory Nut Ave, Oldsmar, FL 34677 (Physical)
EIN:
59-3603024

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