Healthcare Provider Details

I. General information

NPI: 1992786628
Provider Name (Legal Business Name): RUFUS J. MARK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RUFUS J. MARK M.D.,

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 W DR MLK BLVD
TAMPA FL
33607-6307
US

IV. Provider business mailing address

2995 DREW ST FL 2
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 813-870-4015
  • Fax:
Mailing address:
  • Phone: 727-532-0002
  • Fax: 813-635-2613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME180067
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: