Mark S Florman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

09416 Issued in OH

Practice address

34696 Vine Street
Eastlake, OH 44095

Phone

(440) 953-9111

Fax

(440) 953-9113

NPI assigned

Apr 4, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386606507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34696 VINE STREET",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "44095",
            "telephone_number": "440-953-9111",
            "fax_number": "440-953-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34696 VINE STREET",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "44095",
            "telephone_number": "440-953-9111",
            "fax_number": "440-953-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORMAN",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "09416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0862179",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastlake Oh Dentist LLC
• Jacquelyn Fedor
• Lauren K Ferenac
• Shah Huzaifa Feroz, M.D.
• Zoe Sara Fletcher
• Anna Fordham
• Alan S Fox, R.PH.
• Richard A Freese, RPH
• Kaitlyn Gabriel
• Jolie Gaga, LPN

• Dentist in Eastlake, OH
• Providers in Eastlake, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.