Provider Demographics
NPI:1467462259
Name:MARK, ISABEL P (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:P
Last Name:MARK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 SAN REMO DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8735
Mailing Address - Country:US
Mailing Address - Phone:561-422-6962
Mailing Address - Fax:561-422-5378
Practice Address - Street 1:7301 N MILITARY TRL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6415
Practice Address - Country:US
Practice Address - Phone:561-422-6962
Practice Address - Fax:561-422-5378
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL269721835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy