Provider Demographics
NPI:1780869610
Name:MORAN, MARK FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:FRANCIS
Last Name:MORAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9126
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91309-0126
Mailing Address - Country:US
Mailing Address - Phone:818-709-8161
Mailing Address - Fax:818-709-8160
Practice Address - Street 1:615 N BONITA AVE
Practice Address - Street 2:BAY MEDICAL CENTER--HYPERBARIC CENTER
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-3623
Practice Address - Country:US
Practice Address - Phone:850-747-6850
Practice Address - Fax:850-747-6208
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2013-07-16
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Provider Licenses
StateLicense IDTaxonomies
FLME1003832083P0011X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine