Active NPI
Mark C Monroe MD PA
- Anesthesiology Physician
- Jacksonville, FL
National Provider Identifier
1619989092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- MARK C MONROE MD PA
- Practice address
- 3625 University Blvd S
Jacksonville, FL 32216-4207 - Phone
- (904) 421-2119
- NPI assigned
- Aug 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Monroe, MD
- Title
- President
- Phone
- (904) 421-2119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
3625 University Blvd S
Jacksonville, FL 32216-4207
Mailing address
PO Box 863011
Orlando, FL 32886-3011
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195084800000",
"number": "1619989092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863011",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164207",
"telephone_number": "904-421-2119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK C MONROE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2007-11-15",
"status": "A",
"authorized_official_last_name": "MONROE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-421-2119",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.