MEDICARE: MARK THOMAS HASH D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS5744	FL
2	207Q00000X	Family Medicine Physician	OS7744	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497850093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK THOMAS HASH D.O.

Provider Business Mailing Address
First Line	:	2910 KERRY FOREST PKWY # D4-115
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-6892
Country	:	US
Telephone Number	:	850-766-3835
Fax Number	:	229-236-0990

Provider Business Practice Location Address
First Line	:	3599 UNIVERSITY BLVD SOUTH
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4631
Country	:	US
Telephone Number	:	850-766-3835
Fax Number	:	229-236-0990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	12/10/2025

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