Mark  J  Elder    DO
Contract Details
Jay Hospital
Facility name
Provider ID
P000000001
NPI
1477559409
Tax ID
592425149
Effective Date
1/5/2015
Last Updated
6/17/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_241
Location Details
Address
14114 Alabama Street
Jay, FL 32565
United States
Phone
850-675-8000 (Phone)
Billing Details
Address
14114 Alabama Street
Jay, FL 32565
Billing Phone
850-675-8000
Specialty Type
Family Practice
Map
Address