Active NPI
Mark Leonard Abramson, M.D.
- Urology Physician
- Jacksonville, FL
National Provider Identifier
1629030044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME 35713
- Practice address
- 3599 University Blvd S
#804
Jacksonville, FL 32216-4252 - Phone
- (904) 346-3333
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME 35713 | FL | Primary |
Addresses
Primary practice location
3599 University Blvd S
#804
Jacksonville, FL 32216-4252
Mailing address
3604 River Hall Dr
Jacksonville, FL 32217-4243
Phone (904) 737-3604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 35713 | FL | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1629030044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3604 RIVER HALL DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322174243",
"telephone_number": "904-737-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3599 UNIVERSITY BLVD S",
"address_2": "#804",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164252",
"telephone_number": "904-346-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMSON",
"first_name": "MARK",
"middle_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME 35713",
"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 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.