Provider Demographics
NPI:1134302201
Name:MEDMARK SERVICES INC.
Entity Type:Organization
Organization Name:MEDMARK SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATIONAL MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:LEMPERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-495-1973
Mailing Address - Street 1:602 NW 44TH TER
Mailing Address - Street 2:APT. 203
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-9209
Mailing Address - Country:US
Mailing Address - Phone:561-929-4543
Mailing Address - Fax:
Practice Address - Street 1:4800 LINTON BLVD
Practice Address - Street 2:SUITE E-300
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6584
Practice Address - Country:US
Practice Address - Phone:561-495-1973
Practice Address - Fax:561-495-2097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5150454261QV0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA