IndividualActive
Mark Elder, D.O.
NPI 1477559409 · Family Medicine Physician · Jay, FL
Provider details
- NPI number
- 1477559409
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- OS8505 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3887 Scotts Plaza Dr
Jay, FL 32565-4001
Phone: (850) 981-0320
Fax: (850) 981-0911
Approximate (ZIP-level) locationGet directions
Mailing address
3887 Scotts Plaza Dr
Jay, FL 32565-4001
Registry dates
- Enumerated
- 2005-06-23
- Last updated
- 2016-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.