Provider Demographics
NPI:1821046830
Name:FLODIN, MARK WINSTON (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:WINSTON
Last Name:FLODIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:15320 AMBERLY DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1647
Mailing Address - Country:US
Mailing Address - Phone:813-977-0733
Mailing Address - Fax:813-971-2230
Practice Address - Street 1:508 S HABANA AVE
Practice Address - Street 2:SUITE 280
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4181
Practice Address - Country:US
Practice Address - Phone:813-872-3164
Practice Address - Fax:813-874-2225
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2014-07-09
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Provider Licenses
StateLicense IDTaxonomies
FLME-0048993207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine