Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Fam, DO

Individual provider Family Medicine Physician · NPI 1659012623

Mark Fam, DO is a Family Practice in Fort Myers, Florida. Graduated from Edward via Col of Osteo Medicine-Carolinas Campus in 2022, 4 years ago. Practices with University Medical Service Association Inc, a 824-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
4
Trained at
Edward via Col of Osteo Medicine-Carolinas Campus
Licensed in
FL
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2780 Cleveland Ave Ste 709
Fort Myers, FL 33901-5857
Phone: (239) 343-2371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13330 Usf Laurel Dr, Tampa, FL 33612-6601 — (813) 821-8014

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS20402 (FL)

Record details

NPI number1659012623
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESDecember 7, 2025
Certification dateDecember 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated 2022 (4 years in practice)
Group practice University Medical Service Association Inc — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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